A Case of Koch's Spine Treated with Modified Transpedicular Vertebral Curettage and Posterior Fixation: A Novel Technique

Tuberculosis (TB) is a chronic granulomatous infection caused by acid-fast mycobacterium tuberculosis bacilli. Spinal involvement occurs in less than one percent of TB. Spinal TB (Pott’s disease) accounts for 50% of skeletal TB. Though it most commonly affects the thoracolumbar junction, it can occu...

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Detalles Bibliográficos
Autores principales: Golwala, Paresh, Kapoor, Chirag, Shah, Malkesh, Merh, Aditya, Kansagra, Ankur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2016
Materias:
Orthopedics
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5218885/
https://www.ncbi.nlm.nih.gov/pubmed/28083459
http://dx.doi.org/10.7759/cureus.915
Descripción
Sumario:Tuberculosis (TB) is a chronic granulomatous infection caused by acid-fast mycobacterium tuberculosis bacilli. Spinal involvement occurs in less than one percent of TB. Spinal TB (Pott’s disease) accounts for 50% of skeletal TB. Though it most commonly affects the thoracolumbar junction, it can occur at any level of the spine. Early diagnosis and treatment is mandatory in order to avoid neurological complications and spinal deformity. We report a case of a young female with tuberculosis of D12-L1 who was treated with posterior decompression using a modified transpedicular approach and posterior instrumentation with a successful outcome.

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