Tuberculous Spondylitis Aggravated by Spinal Manipulative Therapy: A case report.
- Author:
Sung Hun LEE
1
;
Min Gyu CHO
;
Pyeong Sik JEON
Author Information
1. Department of Rehabilitation Medicine, Kwangju Christian Hospital.
- Publication Type:Case Report
- Keywords:
Spinal manipulative therapy;
Tuberculous spondylitis
- MeSH:
Adult;
Biopsy, Needle;
Bone Marrow;
Female;
Fibrosis;
Humans;
Low Back Pain;
Magnetic Resonance Imaging;
Musculoskeletal Manipulations*;
Physical Examination;
Preexisting Condition Coverage;
Radioactivity;
Spondylitis*;
Technetium Tc 99m Medronate
- From:Journal of the Korean Academy of Rehabilitation Medicine
2000;24(5):1015-1018
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 43 years old woman had suffered from a lower back pain for 2 months. She experienced pain aggravation after spinal manipulative therapy that was practiced by non-licentiate. Physical examination showed tenderness on L1 and L2 spinous processes. Radionuclide bone scan with 99mTc-MDP showed increased radioactivity of L1, L2 vertebral bodies. The MRI finding showed low signal intensity of L1 and L2 vertebral bodies in T1-weighted image and high signal intensity in T2-weighted image. Needle biopsy finding showed fibrosis and inflammatory cell invasion of bone marrow. We concluded that she had tuberculous spondylitis and non-detection or negligent treatment of a preexisting disease contributed to aggravation of her symptoms. We report one case of tuberculous spondylitis aggravated by spinal manipulative therapy with review of literatures.
