Thoracic Vertebral Fracture due to Spinal Tuberculosis which was Misdiagnosed as Matastatic Cancer: A Case Report.
10.4184/jkss.2015.22.2.55
- Author:
Dae Geun KIM
1
;
Jae Hwan CHO
;
Jae Hyoun KIM
;
Jung Ki HA
;
Dong Ho LEE
;
Choon Sung LEE
Author Information
1. Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. doctork78@hanmail.net
- Publication Type:Case Report
- Keywords:
Spine;
Pathologic fracture;
Neoplasm metastasis;
Tuberculosis;
Decompression
- MeSH:
Aged;
Crutches;
Decompression;
Female;
Fractures, Spontaneous;
Humans;
Lower Extremity;
Neoplasm Metastasis;
Spine;
Spondylitis;
Tuberculosis;
Tuberculosis, Spinal*
- From:Journal of Korean Society of Spine Surgery
2015;22(2):55-59
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: A case report. OBJECTIVES: To report the case of a patient whose preoperative imaging results seemed to show metastatic spine tumor but who actually had a vertebral pathologic fracture caused by spine tuberculosis. SUMMARY OF LITERATURE REVIEW: Tuberculosis spondylitis is classified into peridiscal, central, anterior, and posterior spondylitis according to the portion involved, and central spondylitis can be mistaken as a tumor. MATERIALS AND METHODS: Imaging studies were performed in a 79-year-old female with progressive lower extremity weakness. We found a T12 pathologic vertebral fracture, which was suspected to be metastatic cancer. RESULTS: We performed surgery and found spine tuberculosis in the pathological and immunological examinations. Two weeks postoperatively, the patient could walk with crutches and underwent anti-tuberculosis therapy. CONCLUSIONS: Even when the results of imaging studies predict spinal metastasis, we should keep in mind the possibility of spinal tuberculosis.