RESUMO
A 43 years old woman had suffered from a lower back pain for 2 months. She experienced pain aggravation after spinal manipulative therapy that was practiced by non-licentiate. Physical examination showed tenderness on L1 and L2 spinous processes. Radionuclide bone scan with 99mTc-MDP showed increased radioactivity of L1, L2 vertebral bodies. The MRI finding showed low signal intensity of L1 and L2 vertebral bodies in T1-weighted image and high signal intensity in T2-weighted image. Needle biopsy finding showed fibrosis and inflammatory cell invasion of bone marrow. We concluded that she had tuberculous spondylitis and non-detection or negligent treatment of a preexisting disease contributed to aggravation of her symptoms. We report one case of tuberculous spondylitis aggravated by spinal manipulative therapy with review of literatures.
Assuntos
Adulto , Feminino , Humanos , Biópsia por Agulha , Medula Óssea , Fibrose , Dor Lombar , Imageamento por Ressonância Magnética , Manipulações Musculoesqueléticas , Exame Físico , Cobertura de Condição Pré-Existente , Radioatividade , Espondilite , Medronato de Tecnécio Tc 99mRESUMO
Spinal manipulative therapy is frequently prescribed for back and neck pain. Though most persons practicing manipulation insist that spinal manipulative therapy is a safe treatment, serious complications could occur. It is essential to be aware of these complications in prescribing or practicing prreting manipulative therapy. We report one case of cauda equina syndrome caused by spinal manipulative therapy with review of literatures.