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KMID : 0388720150220030127
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Journal of Korean Society of Spine Surgery
2015 Volume.22 No. 3 p.127 ~ p.132
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Atypical Tuberculous Spondylitis: A Report of Two Cases
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:Min Hak-Jin
:Ryu Hyung-Gon/:Shin Seong-Kee
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Abstract
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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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KEYWORD
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Tuberculous spondylitis, Atypical, Biopsy
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