Tuberculous Spondylitis after Percutaneous Vertebroplasty: Misdiagnosis or Complication?.
10.14245/kjs.2013.10.2.97
- Author:
Jung Hoon KANG
1
;
Hyun Sook KIM
;
Seok Won KIM
Author Information
1. Department of Rehabilitation, College of Medicine, Chosun University, Gwangju, Republic of Korea.
- Publication Type:Case Report
- Keywords:
Tuberculous spondylitis;
Percutaneous vertebroplasty
- MeSH:
Back Pain;
Biopsy;
Cold Temperature;
Congenital Abnormalities;
Dental Cements;
Diagnostic Errors;
Female;
Fever;
Fractures, Compression;
Humans;
Kyphosis;
Magnetic Resonance Imaging;
Mycobacterium tuberculosis;
Polymerase Chain Reaction;
Spine;
Spondylitis;
Sweat;
Tuberculosis, Pulmonary;
Vertebroplasty
- From:Korean Journal of Spine
2013;10(2):97-100
- CountryRepublic of Korea
- Language:English
-
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.
