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- Title
A Case of a Young Woman With Spinal Tuberculosis: Case Report.
- Authors
Isa, Omar M.
- Abstract
Introduction: Skeletal involvement occurs in appromixately 10% of all patients with extrapulmonary TB. Spinal TB is the most common form of osteo-articular TB, accounting for 1%–5% of all TB cases. Most common site of skeletal TB is the spine. Case description: A 19-year-old schoolgirl complained of back pain and lower limb weakness with stooping of the upper back. She had been diagnosed with pulmonary TB one year prior but had defaulted on medication and follow-up few months earlier. She had mild back pain with a progressive stoop and weakness of the lower limbs but no numbness. She is currently using a wheelchair. Discussion: Patient was put on anti-TB chemotherapy and continuous traction with a halo. She was also scheduled for surgery to correct sagittal imbalance, to re-create thoracic kyphosis and lumbar lordosis and to relieve chronic back pain and arrest progressive deformity. The surgery was conducted through posterior approach, along with surgery decompression of the spinal canal and posterior implants. Conclusion: In management of spinal tuberculosis, anti-TB chemotherapy is given for 3 weeks before surgery so that tissues are organized during healing. Surgery is indicated to correct spinal deformity with the aim to stabilize the spine and recreate the normal anatomical balance, thus correcting the spinal in-balance. Surgical decompression is done to relieve neurologic compression while implants are needed for stabilization.
- Subjects
SPINAL tuberculosis; EXTRAPULMONARY tuberculosis; LORDOSIS; YOUNG women; LUMBAR pain; SPINAL canal; SURGICAL decompression
- Publication
Malaysian Journal of Medicine & Health Sciences, 2024, Vol 20, p92
- ISSN
1675-8544
- Publication type
Case Study