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 |