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

Figure 6

A 42-year-old female suffered from back pain for 6 months and double lower limbs weakness for 10 days with a breast cancer history. (a, b) Lumbar CT showed L3 vertebral body and attachment bone destruction, no subligamentous spread of abscess, no obvious narrow intervertebral space, and sequestra formation. (c–f) Lumbar MRI indicated that L3 vertebral body and attachment bone destruction, but intervertebral disc was normal. (g) The score was 10 points and the preoperative diagnosis was spinal metastasis which was consistent with the postoperative pathological diagnosis (metastatic adenocarcinoma).

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