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Intravertebral cleft in pathological vertebral fracture resulting from spinal tuberculosis: a case report and literature review

BACKGROUND: Among common findings in osteoporotic vertebral compression fractures (OVCFs), the intravertebral cleft (IVC) is usually considered a benign lesion. The current study was aimed to present a rare case of vertebral fracture caused by IVC-related spinal tuberculosis. CASE PRESENTATION: A 73...

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Autores principales: Dong, Liang, Dong, Chunke, Zhu, Yuting, Wei, Hongyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7501658/
https://www.ncbi.nlm.nih.gov/pubmed/32948151
http://dx.doi.org/10.1186/s12891-020-03642-2
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author Dong, Liang
Dong, Chunke
Zhu, Yuting
Wei, Hongyu
author_facet Dong, Liang
Dong, Chunke
Zhu, Yuting
Wei, Hongyu
author_sort Dong, Liang
collection PubMed
description BACKGROUND: Among common findings in osteoporotic vertebral compression fractures (OVCFs), the intravertebral cleft (IVC) is usually considered a benign lesion. The current study was aimed to present a rare case of vertebral fracture caused by IVC-related spinal tuberculosis. CASE PRESENTATION: A 73-year-old female complained of back pain and weakness in lower limbs for 2 weeks. 3 months ago, after a minor trauma, she got back pain without weakness in lower limbs. Initially, she was diagnosed with a L1 compression fracture and accepted conservative treatment. After an asymptomatic period, she complained progressive pain at the fracture position with weakness of both lower limbs and was referred to our hospital with suspicion of Kümmell’s disease. The patient underwent posterior debridement and internal fixation for decompression and stabilization of the spine. Pathological examinations revealed the patient with spinal tuberculosis. CONCLUSIONS: Although IVC is common in patients with OCVFs, there are some cases believed to be found in patients with spinal tuberculosis or infection. Further test, like CT-guided puncture biopsy, may be required before decisive treatment when an IVC is observed.
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spelling pubmed-75016582020-09-22 Intravertebral cleft in pathological vertebral fracture resulting from spinal tuberculosis: a case report and literature review Dong, Liang Dong, Chunke Zhu, Yuting Wei, Hongyu BMC Musculoskelet Disord Case Report BACKGROUND: Among common findings in osteoporotic vertebral compression fractures (OVCFs), the intravertebral cleft (IVC) is usually considered a benign lesion. The current study was aimed to present a rare case of vertebral fracture caused by IVC-related spinal tuberculosis. CASE PRESENTATION: A 73-year-old female complained of back pain and weakness in lower limbs for 2 weeks. 3 months ago, after a minor trauma, she got back pain without weakness in lower limbs. Initially, she was diagnosed with a L1 compression fracture and accepted conservative treatment. After an asymptomatic period, she complained progressive pain at the fracture position with weakness of both lower limbs and was referred to our hospital with suspicion of Kümmell’s disease. The patient underwent posterior debridement and internal fixation for decompression and stabilization of the spine. Pathological examinations revealed the patient with spinal tuberculosis. CONCLUSIONS: Although IVC is common in patients with OCVFs, there are some cases believed to be found in patients with spinal tuberculosis or infection. Further test, like CT-guided puncture biopsy, may be required before decisive treatment when an IVC is observed. BioMed Central 2020-09-18 /pmc/articles/PMC7501658/ /pubmed/32948151 http://dx.doi.org/10.1186/s12891-020-03642-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Dong, Liang
Dong, Chunke
Zhu, Yuting
Wei, Hongyu
Intravertebral cleft in pathological vertebral fracture resulting from spinal tuberculosis: a case report and literature review
title Intravertebral cleft in pathological vertebral fracture resulting from spinal tuberculosis: a case report and literature review
title_full Intravertebral cleft in pathological vertebral fracture resulting from spinal tuberculosis: a case report and literature review
title_fullStr Intravertebral cleft in pathological vertebral fracture resulting from spinal tuberculosis: a case report and literature review
title_full_unstemmed Intravertebral cleft in pathological vertebral fracture resulting from spinal tuberculosis: a case report and literature review
title_short Intravertebral cleft in pathological vertebral fracture resulting from spinal tuberculosis: a case report and literature review
title_sort intravertebral cleft in pathological vertebral fracture resulting from spinal tuberculosis: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7501658/
https://www.ncbi.nlm.nih.gov/pubmed/32948151
http://dx.doi.org/10.1186/s12891-020-03642-2
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