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Asian Spine J. 2013 Sep;7(3):222-6. doi: 10.4184/asj.2013.7.3.222. Epub 2013 Sep 04.

Tuberculosis affecting multiple vertebral bodies.

Asian spine journal

Hideo Baba, Atsushi Tagami, Shinji Adachi, Takeshi Hiura, Makoto Osaki

Affiliations

  1. Department of Orthopaedic Surgery, Graduate School of Medicine, Nagasaki University, Nagasaki, Japan.

PMID: 24066219 PMCID: PMC3779775 DOI: 10.4184/asj.2013.7.3.222

Abstract

Spinal tuberculosis usually occurs in a single vertebral body or two to three adjacent vertebrae; it rarely occurs in multiple vertebral bodies. Surgery is indicated in cases that do not improve with conservative therapy, or when paralysis is evident. Two cases regarding patients with spinal tuberculosis in multiple vertebral bodies on whom surgery was performed are reported. Case 1, the patient was a 77-year-old woman with spinal tuberculosis in four vertebral bodies from the lower thoracic to the lumbar spine. As she had pronounced lower back pain, posterolateral fusion with a pedicle screw was performed. Case 2, the patient was a 29-year-old Indonesian man with spinal tuberculosis in 17 vertebral bodies of the spine who was unable to stand due to paralysis of both legs, thus posterolateral fusion with a pedicle screw was performed. Good results were obtained from tuberculostatic drug therapy and surgical instrumentation.

Keywords: Antitubercular agents; Instrumentation; Spinal tuberculosis

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