European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2012
Spinal tuberculosis occurring after a closed bursting fracture of the vertebrae.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Huang Bo, Li Chang-Qing, Zhuang Ying, Xu Jian-Ping, Zhou Yue
Аннотация
INTRODUCTION: Only 12 cases of musculoskeletal tuberculosis (TB) that occurred at the site of recent blunt trauma have been previously described.
MATERIALS AND METHODS: A 43-year-old previously healthy man experienced an uncomplicated bursting fracture at the L2 vertebra without any spinal tuberculosis (ST)-associated evidence. During the conservative treatment, he was in good physical condition with back pain totally subsiding and occasional ambulation in a spinal brace, whereas 7 months after the original trauma, he presented with a characteristic manifestation of ST at the same vertebra.
RESULTS: Intraoperatively, biopsy confirmed ST of the L2 vertebra and radical debridement with an anterior fusion was performed. The patient received an 18-month course of anti-TB regimen. Excellent clinical outcomes were achieved.
CONCLUSION: In developing countries, where TB is still widely prevalent, there must be a heightened awareness of the risk of ST at recently fractured vertebrae, as demonstrated in this case.
MATERIALS AND METHODS: A 43-year-old previously healthy man experienced an uncomplicated bursting fracture at the L2 vertebra without any spinal tuberculosis (ST)-associated evidence. During the conservative treatment, he was in good physical condition with back pain totally subsiding and occasional ambulation in a spinal brace, whereas 7 months after the original trauma, he presented with a characteristic manifestation of ST at the same vertebra.
RESULTS: Intraoperatively, biopsy confirmed ST of the L2 vertebra and radical debridement with an anterior fusion was performed. The patient received an 18-month course of anti-TB regimen. Excellent clinical outcomes were achieved.
CONCLUSION: In developing countries, where TB is still widely prevalent, there must be a heightened awareness of the risk of ST at recently fractured vertebrae, as demonstrated in this case.