How does spondylodiscitis typically spread in TB?
The spread of infection is typically described as 'sub-ligamentous' beneath the longitudinal ligaments.
Are the cold abscesses of TB amenable to percutaneous image-guided drainage?
Although technically feasible and tempting, the majority of the time the content of the abscesses is extremely viscous, and invariably complete drainage is difficult to achieve.
T12/L1 spondylodiscitis - with avid contrast enhancement involving the T11-L2 vertebral bodies, T12/L1 disc space, and the adjacent paravertebral collections.
A plethora of collections as a consequence of spondylodiscitis are evident - the so-called 'cold abscesses' of TB, with intense ring enhancement.