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One-stage anterior approach for long-segment subaxial cervical spondylitis tuberculosis: A case report

BACKGROUND: Spondylitis TB on cervical region is a rare disease, that may lead to severe neurological complications. The anterior approach is considered as a gold standard for cervical spine tuberculosis. Available studies and literature have not precisely mentioned on how many levels are acceptable...

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Autores principales: Destiansyah, Rifqi Aulia, Subagio, Eko Agus, Bajamal, Abdul Hafid, Faris, Muhammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568880/
https://www.ncbi.nlm.nih.gov/pubmed/36162359
http://dx.doi.org/10.1016/j.ijscr.2022.107693
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author Destiansyah, Rifqi Aulia
Subagio, Eko Agus
Bajamal, Abdul Hafid
Faris, Muhammad
author_facet Destiansyah, Rifqi Aulia
Subagio, Eko Agus
Bajamal, Abdul Hafid
Faris, Muhammad
author_sort Destiansyah, Rifqi Aulia
collection PubMed
description BACKGROUND: Spondylitis TB on cervical region is a rare disease, that may lead to severe neurological complications. The anterior approach is considered as a gold standard for cervical spine tuberculosis. Available studies and literature have not precisely mentioned on how many levels are acceptable for this disease and still up for discussion. CASE PRESENTATION: A 45-year-old Asian male was brought from a rural hospital to our outpatient clinic with progressive weakness of all extremities for 3 months. Cervical x-ray and MRI showed three-levels of vertebral body destruction, suggesting a cervical spondylitis TB. Patient had debridement, corpectomy on C4, 5, 6, fusion with cage, and anterior plating from C3 to Th1 in a one-stage anterior approach. Immediately after the surgery, the patient had no complaints of pain, and he was able to walk on his own. One year follow-up after the surgery, no residual neurological impairment is detected and had no limitation in daily activities. Cervical x-ray and MRI showed good ossification and improvement of lordotic curvature. CONCLUSION: Treatment of cervical spondylitis TB which involved three-levels of vertebrae using one-stage anterior approach provides a good rate of deformity correction along with clinical improvement and long-term well-being of the patient.
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spelling pubmed-95688802022-10-16 One-stage anterior approach for long-segment subaxial cervical spondylitis tuberculosis: A case report Destiansyah, Rifqi Aulia Subagio, Eko Agus Bajamal, Abdul Hafid Faris, Muhammad Int J Surg Case Rep Case Report BACKGROUND: Spondylitis TB on cervical region is a rare disease, that may lead to severe neurological complications. The anterior approach is considered as a gold standard for cervical spine tuberculosis. Available studies and literature have not precisely mentioned on how many levels are acceptable for this disease and still up for discussion. CASE PRESENTATION: A 45-year-old Asian male was brought from a rural hospital to our outpatient clinic with progressive weakness of all extremities for 3 months. Cervical x-ray and MRI showed three-levels of vertebral body destruction, suggesting a cervical spondylitis TB. Patient had debridement, corpectomy on C4, 5, 6, fusion with cage, and anterior plating from C3 to Th1 in a one-stage anterior approach. Immediately after the surgery, the patient had no complaints of pain, and he was able to walk on his own. One year follow-up after the surgery, no residual neurological impairment is detected and had no limitation in daily activities. Cervical x-ray and MRI showed good ossification and improvement of lordotic curvature. CONCLUSION: Treatment of cervical spondylitis TB which involved three-levels of vertebrae using one-stage anterior approach provides a good rate of deformity correction along with clinical improvement and long-term well-being of the patient. Elsevier 2022-09-21 /pmc/articles/PMC9568880/ /pubmed/36162359 http://dx.doi.org/10.1016/j.ijscr.2022.107693 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Destiansyah, Rifqi Aulia
Subagio, Eko Agus
Bajamal, Abdul Hafid
Faris, Muhammad
One-stage anterior approach for long-segment subaxial cervical spondylitis tuberculosis: A case report
title One-stage anterior approach for long-segment subaxial cervical spondylitis tuberculosis: A case report
title_full One-stage anterior approach for long-segment subaxial cervical spondylitis tuberculosis: A case report
title_fullStr One-stage anterior approach for long-segment subaxial cervical spondylitis tuberculosis: A case report
title_full_unstemmed One-stage anterior approach for long-segment subaxial cervical spondylitis tuberculosis: A case report
title_short One-stage anterior approach for long-segment subaxial cervical spondylitis tuberculosis: A case report
title_sort one-stage anterior approach for long-segment subaxial cervical spondylitis tuberculosis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568880/
https://www.ncbi.nlm.nih.gov/pubmed/36162359
http://dx.doi.org/10.1016/j.ijscr.2022.107693
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