ArticleJournal of orthopaedic case reports2023
Subjacent Disease in an Operated Case of Spinal Tuberculosis: A Case Report and Literature Review.
Article in Journal of orthopaedic case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Spinal tuberculosis (TB) recurrence in subjacent vertebral segments in a post-operative case is one of the atypical presentations of this common disease. Case Report: A 63-year-old gentleman presented with fever and bilateral lower limb weakness for 10 days. The patient was on anti-tubercular therapy for the past 18 months and had a history of surgical decompression and posterior instrumentation for D12 and L1 vertebrae spinal TB. Radiological investigations showed new-onset TB in D9 and D10 vertebral levels. Management with revision surgery was done. Conclusion: Recurrence of spinal TB in segments of vertebrae subjacent to previously operated segments in a patient on long-term anti-tubercular treatment is a rare and undescribed presentation of the common disease. High index of suspicion is required for early diagnosis and prompt management to prevent long-term morbidities.
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