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Gibbus deformity after non-tuberculosis osteomyelitis.

Akop Seksenyan1,2, Darian R Esfahani1, Kimberly Hu1

  • 1Department of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.

Journal of Spine Surgery (Hong Kong)
|January 23, 2018
PubMed
Summary

Gibbus deformities, often from tuberculosis, can be caused by other pathogens. This case report details successful surgical treatment for non-tuberculosis osteomyelitis causing a severe spinal deformity.

Keywords:
Gibbus deformitykyphosisosteomyelitisspinal fusionspinal stenosis

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Area of Science:

  • Spine surgery
  • Infectious disease
  • Neurosurgery

Background:

  • Gibbus deformity involves vertebral body collapse causing kyphosis, typically linked to spinal infections like tuberculosis.
  • While tuberculosis is the most common cause, other pathogens are infrequently reported in literature.
  • Understanding the diverse etiology of Gibbus deformity is crucial for effective management.

Observation:

  • A patient presented with a sharp, angulated Gibbus deformity causing back pain and myelopathy.
  • The deformity was attributed to non-tuberculosis osteomyelitis.
  • This highlights the importance of considering non-tuberculous pathogens in Gibbus deformities.

Findings:

  • Surgical intervention included T11-T12 corpectomy, an expandable cage, and T8-L3 fusion.
  • The patient received antibiotic treatment.
  • Microbiology confirmed non-tuberculosis osteomyelitis, with a successful postoperative recovery.

Implications:

  • This case underscores that Gibbus deformities can stem from various pathogens beyond tuberculosis.
  • Prompt diagnosis and surgical management are vital for neurosurgical treatment of Gibbus deformities.
  • Spine surgeons must remain vigilant for Gibbus deformities, even as tuberculosis incidence declines.