Radiology of the Spine: Differentiation of Brucellosis from Tuberculosis
Brucellosis | Tuberculosis | |
---|---|---|
Site | Lumbar and others | Dorsolumbar |
Vertebrae | Multiple or contiguous | Contiguous |
Diskitis | Late | Early |
Body | Intact until late | Morphology lost early |
Canal compression | Rare | Common |
Epiphysitis | Anterosuperior (Pom's sign) | General: upper and lower disk regions, central, subperiosteal |
Osteophyte | Anterolateral (parrot beak) | Unusual |
Deformity | Wedging uncommon | Anterior wedge, gibbus |
Recovery | Sclerosis, whole-body | Variable |
Paravertebral abscess | Small, well-localized | Common and discrete loss, transverse process |
Psoas abscess | Rare | More likely |