A Scoring System for Outpatient Orthopedist to Preliminarily Distinguish Spinal Metastasis from Spinal Tuberculosis: A Retrospective Analysis of 141 Patients

Figure 5

A 56-year-old male suffered from back pain for 4 months with no malignant tumor history. (a, b) lumbar CT showed L4 and L5 vertebral body bone destruction, narrow intervertebral disc, and sequestra formation. (c–f) Lumbar MRI indicated that L4 and L5 vertebral body destruction, subligamentous spread of abscess, and intervertebral disc were involved. (g) The score was 0 points and the preoperative diagnosis was spinal TB which was consistent with the postoperative pathological diagnosis (granulomatous inflammation).

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