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Non-contiguous extensive multifocal spinal tuberculosis- treating uncommon scenarios.
Shailesh Hadgaonkar1, Pradhyumn Rathi1, Ashok Shyam1
1Department of Spine, Sancheti Institute of Orthopedics and Rehabilitation, Pune, Maharashtra, India.
The Indian Journal of Tuberculosis
|August 23, 2020
Summary
Extensive spinal tuberculosis (TB) affecting the entire spine is rare and may present asymptomatically. Early diagnosis and treatment of spinal TB are crucial to prevent neurological deficits and avoid surgery.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Radiology
Background:
- Noncontiguous tuberculous spondylitis, or spinal tuberculosis (TB), commonly affects 2-3 vertebral levels.
- Extensive multifocal spinal TB involving the entire spine is infrequently documented in medical literature.
Observation:
- Cases of extensive spinal TB can be asymptomatic.
- A higher incidence of neurological complications is observed in extensive spinal TB.
- Skip lesions in the spine warrant cautious consideration for tuberculosis.
Findings:
- Multifocal extensive spinal TB is a rare presentation.
- Asymptomatic presentation is possible in extensive spinal TB.
- Neurological complications are more common in widespread spinal TB.
Implications:
- Consider tuberculosis in cases of spinal skip lesions.
- Prompt diagnosis and treatment of spinal TB can prevent neurological deficits.
- Early intervention may obviate the need for surgical intervention in spinal TB.
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