J Korean Acad Rehabil Med.  2000 Oct;24(5):1015-1018.

Tuberculous Spondylitis Aggravated by Spinal Manipulative Therapy: A case report

• Lee SH
• Cho MG
• Jeon PS

Abstract

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.

Keyword

Spinal manipulative therapy; Tuberculous spondylitis

MeSH Terms

Adult
Biopsy, Needle
Bone Marrow
Female
Fibrosis
Humans
Low Back Pain
Magnetic Resonance Imaging
Musculoskeletal Manipulations*
Physical Examination
Preexisting Condition Coverage
Radioactivity
Spondylitis*
Technetium Tc 99m Medronate
Technetium Tc 99m Medronate