ArticlePostgraduate medical journal2006
Current difficulties in the diagnosis and management of spinal tuberculosis.
Article in Postgraduate medical journal, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.
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Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 130 citations in OpenAlex.
- Recommendations for the diagnosis of pediatric tuberculosis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2016Guideline
- Prevalence of inappropriate tuberculosis treatment regimens: a systematic review.The European respiratory journal · 2012Pooled it
- Prospective feasibility study of [68Ga]Gallium citrate PET/CT for treatment response assessment in spinal tuberculosis: exploratory comparison with follow-up [18 F]FDG PET/CT.Annals of nuclear medicine · 2026Article
- Recommendations of the International Consensus Meeting (ICM) 2025 on Spinal Infections: Part B Tubercular Spondylodiscitis.Global spine journal · 2026Article
- An Unusual Presentation of Spinal Tuberculosis Masquerading as Pyogenic Meningitis: A Case Report.Case reports in medicine · 2026Article
- Differences analysis between spinal tuberculosis and brucella spondylitis with preoperative non-invasive differential diagnosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Diagnosis and Treatment of Skipped Multifocal Spinal Tuberculosis Lesions.Orthopaedic surgery · 2023Review
- Tuberculosis of the spine.World journal of orthopedics · 2023Review
- Tuberculous Spondylodiscitis with Epidural Spread.Revista da Sociedade Brasileira de Medicina Tropical · 2023Article
- Tuberculosis of the spine and drug resistance: a review article.Neurosurgical review · 2022Review
- Development and validation of a diagnostic model for differentiating tuberculous spondylitis from brucellar spondylitis using machine learning: A retrospective cohort study.Frontiers in surgery · 2022Article
- Article
- Analysis of Clinical Characteristics of 556 Spinal Tuberculosis Patients in Two Tertiary Teaching Hospitals in Guangxi Province.BioMed research international · 2021Article
- Assessment of Clinical and Radiological Parameters in Spinal Tuberculosis: Comparison between Human Immunodeficiency Virus-Positive and Human Immunodeficiency Virus-Negative Patients.Asian spine journal · 2020Article
- MRI findings in Pott's spine and correlating clinical progress with radiological findings.Neuroradiology · 2020Article
- Challenges and controversies in the treatment of spinal tuberculosis.Journal of clinical tuberculosis and other mycobacterial diseases · 2020Review
- Simultaneous 18F-FDG PET/MRI in tuberculous spondylitis: an independent method for assessing therapeutic response - case series.BMC infectious diseases · 2019Article
- Clinical Characteristics of 1378 Inpatients with Spinal Tuberculosis in General Hospitals in South-Central China.BioMed research international · 2019Article
- Characteristics and management of bone and joint tuberculosis in native and migrant population in Shanghai during 2011 to 2015.BMC infectious diseases · 2018Article
- Could an increase in vigilance for spinal tuberculosis at primary health care level, enable earlier diagnosis at district level in a tuberculosis endemic country?African journal of primary health care & family medicine · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe diagnosis of spinal tuberculosis (ST) is difficult and it commonly presents at an advanced stage. The management and follow up is complicated by a lack of guidance on the appropriate use and interpretation of spinal magnetic resonance studies (MR).
aimsA retrospective study was performed at a UK centre to identify the demographic and presenting features of a spinal TB population, their response to treatment, and the value of follow up MR studies. PATIENTS AND
resultsTwenty one patients were identified with mean symptom duration of 11 (1.5-36) months having been assessed by a health practitioner on 3.2 (0-10) occasions before referral for investigation for ST. Twenty were born outside the UK. Their mean duration of residence in the UK was 6.67 (0.75-20) years, and six (32%) were resident for more than 10 years. Most (85.7%) did not have a medical history and one was HIV positive. Back pain, neurological, and constitutional symptoms were found in 100%, 29%, and 38% respectively. Musculoskeletal and neurological signs were found in 29% and 19% respectively. Spinal MR performed between 6 and 12 months suggests that six months of chemotherapy (for a fully sensitive organism) may not be sufficient to achieve disease resolution.
conclusionsAwareness of the demographic, clinical, and laboratory features of an ST population may facilitate earlier diagnosis. Guidance is required on the appropriate use and interpretation of MRI in the follow up of these patients.
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