Background Tuberculous and brucella spondylodiscitis are endemic in tunisia. Both present in various pathological patterns, but there are significant radiological differences that permit a presumptive aetiological diagnosis and orient the initial empirical treatment.
Objectives The aim of this study was to compare radiological features between these two diseases.
Methods A retrospective monocentric study was performed. Patients diagnosed with tuberculous spondylodiscitis (TSD) or brucellar spondylodiscitis (BSD) between 2008 and 2016 were included. Clinical status and radiological results were assessed.
Results A total of 33 patients were enrolled in the study including 17 men and 16 women. The mean age was 59 years (29–96 years). Twenty four had TSD (72,8%) and 9 BSD (27,2%). CT scan was performed in 9 cases and magnetic resonance imaging (MRI) in 24 cases. For both TSD ans BSD the most common region affected wad lumbar spine (respectively 58% and 77%). Preverebral, paravertebral, epidural and psoas abscess formations were significantly more frequent in TSD compared with BSD [p=0,01]. When considering neurological complications such as epiduritis and cord compression, TSD was not significantly different from BSD [p=0,17].
Conclusions The results of this study show that TSD is a more suppurative disease with abscess formation.
Disclosure of Interest None declared