J Korean Soc Spine Surg.  2015 Sep;22(3):127-132. 10.4184/jkss.2015.22.3.127.

Atypical Tuberculous Spondylitis: A Report of Two Cases

Affiliations
  • 1Department of Orthopaedic Surgery, Seoul Medical Center, Seoul, Republic of Korea. 1435man@hanmail.net

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.

Keyword

Tuberculous spondylitis; Atypical; Biopsy

MeSH Terms

Abscess
Aged
Biopsy
Decompression
Diagnosis
Drainage
Early Diagnosis
Epidural Abscess
Female
Fractures, Compression
Humans
Middle Aged
Neurologic Manifestations
Prognosis
Serologic Tests
Spondylitis*
Vertebroplasty
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