TABLE 2.
MRI differences between pyogenic spondylitis, tuberculous spondylitis and fungal spondylitis.
Feature | Fungal spondylitis | Pyogenic spondylitis | Tuberculous spondylitis |
Location | Lumbar | Lumbar | Thoracic |
Number of affected vertebrae | Usually involves two or more connected vertebrae | Usually involves two connected vertebrae | May involve skipping lesions (higher probability) |
Degree of vertebral destruction | Mild, often localized erosion | Mild to moderate | Severe, often > 50% destruction |
Signal intensity of vertebrae | T2WI typically shows the vertebrae as low signal, while STIR highlights the vertebrae with high signal. | Vertebral high signal on T2WI, vertebral high signal on STIR | Vertebral high signal on T2WI, vertebral high signal on STIR |
Paraspinal abscess | Thick, irregular abscess wall | Thick | Thin, regular abscess wall |
Vertebral abscess | Rare | Rare | Common |
Intradiscal abscess | Rare | Common | Rare |
STIR, short tau inversion recovery.