Tuberculosis of the Cervical Spine

Macke, Jeremy James; Engel, Adam J; Sawin, Paul D.; Bancroft, Laura W.

doi:10.3928/01477447-20150504-01

Cited by 4 publications

(6 citation statements)

References 11 publications

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“…Tüberküloza bağlı olarak kas ve iskelet tutulumu, tüber-küloz basillerinin uzak odaktan sıklıkla akciğerlerden hematojen olarak veya proksimal paraaortik lenf gangliyonların-dan yayılım sonucunda gelişir ve tüberkülozlu hastaların %1-3'ünde görülür (2,3). Kas ve iskelet tutulumu olan tüber-küloz olgularının yarısından fazlasında, birlikte aktif bir akciğer tüberkülozu saptanmaz.…”

Section: İrdelemeunclassified

“…Servikal vertebra tutulumu oldukça nadir görülür. Pott hastalığında en erken ve en önemli özellik paravertebral apse formasyonudur (2).…”

Section: İrdelemeunclassified

“…Pyojenik infeksiyonlardan farklı olarak, proteaz üretim eksikliği nedeniyle tüberkü-loz tutulumunda bazen disk alanı yüksekliği normal kalabilir (2). Pott hastalığında tanıda lezyon bölgesinden alınan örnek kültüründe (derin doku, kemik, apse vb.)…”

Section: İrdelemeunclassified

“…Pott hastalığı tanısında kültür dışında klinik örneğin aside dirençli boyaması, TDT, radyolojik görüntüleme yöntemleri, histopatolojik inceleme ve PZR testi kullanılabilir (2,8). Tanıda ravertebral apse görünümü.…”

Section: İrdelemeunclassified

“…Pott hastalığına bağlı servikal vertebra tutulumu oldukça nadirdir (2)(3)(4)(5)(6). Bu yazıda servikal vertebra tutulumu gösteren, parapleji gelişen, apse drenajı yapılan ve antitüberküloz tedavi başlanan bir Pott hastalığı olgusu sunulmuştur.…”

Section: Introductionunclassified

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A Case Report of Paraplegic Pott’s Disease Exhibiting Cervical Vertebral Involvement

Hekimoğlu¹,

Cesur²,

Hatipoğlu³

et al. 2017

Klimik Dergisi

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Cervical vertebral involvement is extremely rare in Pott's disease but it may lead to severe complications. Therefore, early diagnosis and treatment is required. In this report, a 23 yearold paraplegic male with cervical vertebral involvement showing magnetic resonance imaging findings for Pott's abscess was presented. Mycobacterium tuberculosis was isolated from the abscess culture and he had positive interferon-γ release assay. As this case demonstrated vertebral tuberculosis should be kept in mind in patients admitted with severe neck pain and progressive neurological deficit, and these patients should also be investigated in this respect. Klimik Dergisi 2017; 30(1): 45-7.

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Section: İrdelemeunclassified

“…Servikal vertebra tutulumu oldukça nadir görülür. Pott hastalığında en erken ve en önemli özellik paravertebral apse formasyonudur (2).…”

Section: İrdelemeunclassified

Section: Introductionunclassified

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A Case Report of Paraplegic Pott’s Disease Exhibiting Cervical Vertebral Involvement

Hekimoğlu¹,

Cesur²,

Hatipoğlu³

et al. 2017

Klimik Dergisi

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Spectrum of central nervous system tuberculosis: An experience from a large tertiary care institution of India

Ingole

Garg

Malhotra

et al. 2019

Indian Journal of Tuberculosis

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The clinical outcomes and surgical strategy for cervical spine tuberculosis

Yin

Liu

et al. 2018

Medicine

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Literature on the treatment of cervical spinal tuberculosis (CSTB) is uncommon, the surgical approaches to cervical spinal tuberculosis were controversial. The aim of the study was to evaluate the clinical outcomes of 3 surgical techniques in CSTB patients, and to determine the most appropriate approach for CSTB patients. Between April 2006 and June 2012, we performed a retrospective review of clinical and radiographic data that were collected from 850 consecutive spinal tubercular patients, including 87 patients who were diagnosed and treated for CSTB in our hospital. Apart from 9 patients being treated conservatively, the remainder (78 cases) underwent surgery by anterior debridement, interbody fusion and instrumentation (A group), posterior instrumentation and anterior debridement, fusion and instrumentation in a single or two-stage operation (AP group), or posterior debridement, fusion and posterior instrumentation (P group). The patients were evaluated preoperatively and postoperatively on the basis of hematologic, radiographic examinations, and neurologic function. The 78 patients were followed up for a mean duration of 41.2 ± 7.2 months (range, 24–65 months). Postoperatively, the preoperative erythrocyte sedimentation rate (ESR) value returned to normal within 3 to 6 months in all patients, and solid bone fusion was achieved in 3 to 8 months. The patients exhibited significant improvement in deformity and neurological deficit postoperatively, while the visual analog scale for pain showed significant improvement in all patients at the last follow up visit. The follow-up outcomes demonstrated that all 3 surgical methods were viable management options for CSTB. Individualized therapeutic strategies should be selected according to the patient's general condition, focal characteristics, and the surgeon's experience.

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Tuberculosis of the Cervical Spine

Abstract: A 25-year-old male state-prisoner presented with altered mental status, right neck pain, and uncontrolled hypertension.

Cited by 4 publications

References 11 publications

A Case Report of Paraplegic Pott’s Disease Exhibiting Cervical Vertebral Involvement

A Case Report of Paraplegic Pott’s Disease Exhibiting Cervical Vertebral Involvement

Spectrum of central nervous system tuberculosis: An experience from a large tertiary care institution of India

The clinical outcomes and surgical strategy for cervical spine tuberculosis

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