Tuberculous Spondylitis after Percutaneous Vertebroplasty: Misdiagnosis or Complication?Tuberculous Spondylitis after Percutaneous Vertebroplasty: Misdiagnosis or Complication?
- Other Titles
- Tuberculous Spondylitis after Percutaneous Vertebroplasty: Misdiagnosis or Complication?
- Authors
- 강정훈; 김현숙; 김석원
- Issue Date
- 2013
- Publisher
- KOREAN SPINAL NEUROSURGERY SOC
- Keywords
- Tuberculous spondylitis; Percutaneous vertebroplasty
- Citation
- Neurospine, v.10, no.2, pp 97 - 100
- Pages
- 4
- Journal Title
- Neurospine
- Volume
- 10
- Number
- 2
- Start Page
- 97
- End Page
- 100
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/14391
- ISSN
- 2586-6583
2586-6591
- Abstract
- So far, there have been few previous reports of tuberculous spondylitis occurring after percutaneous vertebroplasty. We report an unusual case of tuberculous spondylitis diagnosed after percutaneous vertebroplasty in a patient who had a history of pulmonary tuberculosis for the first time. A 58-year-old woman, who had a history of complete recovery from pulmonary tuberculosis six years previously, was hospitalized due to severe back pain after a fall. Radiological studies revealed a fresh compression fracture at the T12 thoracic vertebra. The back pain improved dramatically, and the patient was discharged two days after the vertebroplasty. However, cold sweats and a low grade fever with severe back pain developed four weeks after the procedure. Magnetic resonance imaging revealed a severe kyphosis and the T11-T12 disc space had collapsed with heterogeneous signal intensity. The results of the culture of the biopsy specimens were negative, and did not lead to identification of the causative micro-organism. However, the polymerase chain reaction for Mycobacterium tuberculosis was positive. Treatment for tuberculous spondylitis was started and she underwent posterior fusion and instrumentation from T9-L2 after the markers for infection returned to normal. After surgical intervention, the pain improved and the kyphotic deformity was corrected.
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