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Atypical Tuberculous Spondylitis - A Report of Two Cases -

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2015, 22(3), pp.127-132
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

Hak Jin Min 1 유형곤 1 Seong Kee Shin 1

1서울의료원

Accredited

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 and Methods: 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.

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