Spinal Tuberculosis with Circumferential Involvement of Two Noncontiguous Isolated Vertebral LevelsCase Report
作者:
Alpaslan Kulali,
Sabahattin Çobanoglu,
Filiz Özyilmaz,
期刊:
Neurosurgery
(OVID Available online 1994)
卷期:
Volume 35,
issue 6
页码: 1154-1158
ISSN:0148-396X
年代: 1994
出版商: OVID
关键词: Circumferential spinal tuberculosis;Isolated vertebral level;Magnetic resonance imaging;Posterior decompression;Stabilization
数据来源: OVID
摘要:
WE PRESENT A case of a 16-year-old boy with an atypical form of spinal tuberculosis, which circumferentially involved two noncontiguous vertebral levels without destruction of the adjacent vertebral bodies and intervertebral discs. The lesions caused paraplegia and loss of sphincter control, and they were confined to a single vertebra at each site; the findings more closely mimicked spinal malignancies. There was no evidence of pulmonary or other extrapulmonary tuberculous disease. The patient was successfully treated both surgically and medically using posterior decompression and a stabilizing procedure in combination with postoperative antituberculous therapy. Magnetic resonance imaging played a major role in determining the extent of the disease and the type of surgical procedure and in monitoring adequate medical treatment.
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