Question 1535
{"accessible":false,"alternatives":[{"id":7663,"text":"irregularity of the anterior vertebral margin on x-ray"},{"id":7664,"text":"moderate to complete destruction of the intervertebral disc"},{"id":7665,"text":"reduction in vertebral height on imaging "},{"id":7666,"text":"subligamentous spread of infection"},{"id":7667,"text":"well circumscribed paraspinal collection on CT and MRI"}],"archived":false,"correctAlternativeId":7664,"explanation":"\u003cp\u003eAs the spread of the\u0026nbsp;tuberculous spondylitis infection is\u0026nbsp;subligamentous, \u003cstrong\u003ethe intervertebral discs are relatively preserved\u0026nbsp;\u003c/strong\u003eunlike\u0026nbsp;\u003cstrong\u003epyogenic spondylitis\u003c/strong\u003e that will begin at the endplate, erode the disc, and spread to the adjacent vertebrae.\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u0026nbsp;\u003c/p\u003e","id":1535,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/1655","nextQuestionPath":null,"relatedArticles":[{"id":8759,"title":"Tuberculous spondylitis","link":"/articles/tuberculous-spondylitis-2?lang=us"}],"alsoUsedIn":[{"id":601,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 601","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/601"},{"id":601,"kind":"Course","title":"2020 Virtual Conference Private Use - page 601","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/601"},{"id":678,"kind":"Course","title":"Trauma \u0026 Emergency Radiology Course - page 678","link":"https://radiopaedia.org/courses/medical-mums/pages/678"},{"id":678,"kind":"Course","title":"2020 Virtual Conference Private Use - page 678","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/678"}],"stem":"\u003cp\u003eWhich of the following are \u003cstrong\u003eNOT \u003c/strong\u003ea\u0026nbsp;feature of tuberculous spondylitis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1535"}],"attemptsPercentages":[{"alternativeId":"7665","percentage":8},{"alternativeId":"7664","percentage":72},{"alternativeId":"7663","percentage":7},{"alternativeId":"7666","percentage":4},{"alternativeId":"7667","percentage":9}],"promptToLogin":false,"questionManager":false,"articleId":"tuberculous-spondylitis-vs-pyogenic-spondylitis"}