The spine journal : official journal of the North American Spine Society · 2006
Noncontiguous dual segment thoracic brucellosis with neurological deficit.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Tezer Mehmet, Ozturk Cagatay, Aydogan Mehmet, Camurdan Koray, Erturer Erden, Hamzaoglu Azmi
Аннотация
BACKGROUND CONTEXT: Brucellosis can affect the musculoskeletal system, and bony involvement ranges from 2% to 70% in the literature. Spinal brucellosis is generally localized to the sacroiliac region; thoracic brucellosis is rarely seen.
PURPOSE: To present a case with noncontiguous multilevel thoracic brucellosis with spinal cord compression.
STUDY DESIGN: Case report.
METHODS: The patient underwent aggressive surgical debridement (posterior decompression, fusion and stabilization, and two noncontiguous level anterior corpectomy and fusion procedures with titanium mesh cages).
RESULTS: At the latest follow-up of 2 years, her clinical, radiological, and laboratory examination showed no recurrence of infection. The neurological examination was completely normal.
CONCLUSION: Early aggressive debridement and stabilization together with medical treatment, especially in the elderly and immunocompromised patients, would be the most beneficial treatment for eradication of pathology.
PURPOSE: To present a case with noncontiguous multilevel thoracic brucellosis with spinal cord compression.
STUDY DESIGN: Case report.
METHODS: The patient underwent aggressive surgical debridement (posterior decompression, fusion and stabilization, and two noncontiguous level anterior corpectomy and fusion procedures with titanium mesh cages).
RESULTS: At the latest follow-up of 2 years, her clinical, radiological, and laboratory examination showed no recurrence of infection. The neurological examination was completely normal.
CONCLUSION: Early aggressive debridement and stabilization together with medical treatment, especially in the elderly and immunocompromised patients, would be the most beneficial treatment for eradication of pathology.