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KMID : 0388720150220020055
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Journal of Korean Society of Spine Surgery
2015 Volume.22 No. 2 p.55 ~ p.59
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Thoracic Vertebral Fracture due to Spinal Tuberculosis which was Misdiagnosed as Matastatic Cancer: A Case Report
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:Kim Dae-Geun
:Cho Jae-Hwan/:Kim Jae-Hyoun/:Ha Jung-Ki/:Lee Dong-Ho/:Lee Choon-Sung
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Abstract
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Study Design : A case report.
Objectives : To report the case of a patient whose preoperative imaging results seemed to show metastatic spine tumor but who actually had a vertebral pathologic fracture caused by spine tuberculosis.
Summary of Literature Review : Tuberculosis spondylitis is classified into peridiscal, central, anterior, and posterior spondylitis according to the portion involved, and central spondylitis can be mistaken as a tumor.
Materials and Methods : Imaging studies were performed in a 79-year-old female with progressive lower extremity weakness. We found a T12 pathologic vertebral fracture, which was suspected to be metastatic cancer.
Results : We performed surgery and found spine tuberculosis in the pathological and immunological examinations. Two weeks postoperatively, the patient could walk with crutches and underwent anti-tuberculosis therapy.
Conclusions : Even when the results of imaging studies predict spinal metastasis, we should keep in mind the possibility of spinal tuberculosis.
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KEYWORD
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Spine, Pathologic fracture, Neoplasm metastasis, Tuberculosis, Decompression
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