Rare location of spondylitis tuberculosis;atlanto-axial, sacral and cervico-thoracic junction

1st International Conference on Tropical Medicine and Infectious Diseases (ICTROMI) Faculty of Medicine Universitas Sumatera Utara

Victorio^1 ; Nasution, M.D.^1 ; Ibrahim, S.^1 ; Dharmajaya, R.^1

Department of Neurosurgery, Faculty of Medicine, Universitas Sumatera Utara, Haji Adam Malik General Hospital, Medan, Indonesia^1

关键词: Back pain;    Inflammatory process;    Intra-operative;    Tissue sampling;   

Others  :  https://iopscience.iop.org/article/10.1088/1755-1315/125/1/012082/pdf
DOI  :  10.1088/1755-1315/125/1/012082

来源: IOP

【 摘 要 】

Three cases of rare location spondylitis tuberculosis are reported, each in atlantoaxial, cervico-thoracic junction,and sacral. The complaints were aweakness of motoric strength and local back pain. Patients'thoracal x-ray was normal, there was no complaint of acough, PCR forTB was early diagnostic and positive in all three cases, HIV negative, intraoperative tissue samplings were sent for histopathology examination and the results showed thespecific inflammatory process. Lesions were evaluated with computer tomography and/or MRI imaging.Preoperative TB regimens therapy were given for 2 weeks and continued for nine months. The surgical procedurewas done in all cases with excellent improvement of symptoms and motoric strength. In our institution,25 cases of total TB spondylitis were performed in 2 years, only 1 case eachwas found in atlanto-axial, cervico-thoracic and sacral.