Atypical Tuberculous Spondylitis: A Report of Two Cases
Journal of Korean Society of Spine Surgery
;
: 127-132, 2015.
Article
in Korean
| WPRIM
| ID: wpr-22229
ABSTRACT
STUDY DESIGN:
Case study of two cases.OBJECTIVES:
The aim of our study is to describe atypical patterns of tuberculous spondylitis. SUMMARY OF LITERATURE REVIEW Few reports of tuberculous spondylitis have discussed atypical cases, which resulted in a poor prognosis due to the delay in early diagnosis and proper treatment. MATERIALS ANDMETHODS:
A 74-year-old female underwent an incision and drainage, and posterior decompression and fusion (PDF) due to tuberculous epidural abscess after vertebroplasty of a compression fracture at T12. A 52-year-old female underwent interbody fusion and posterior lateral fusion (PLF) because of aggravation of an abscess and neurologic symptoms following non-invasive intervention to treat atypical tuberculous spondylitis.RESULTS:
Clinical symptoms and serological tests of the patients were improved at postoperative 6 months.CONCLUSIONS:
When a patient presents with focal bony or soft tissue abnormality on an image study, the possibility of non-typical tuberculous spondylitis has to be considered when infective spondylitis or a tumor is detected. Moreover, an invasive diagnosis tool such as biopsy will be needed for proper management.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Spondylitis
/
Biopsy
/
Serologic Tests
/
Drainage
/
Epidural Abscess
/
Decompression
/
Early Diagnosis
/
Diagnosis
/
Abscess
Type of study:
Diagnostic study
/
Prognostic study
/
Screening study
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Journal of Korean Society of Spine Surgery
Year:
2015
Type:
Article
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