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Related Experiment Video

Updated: Dec 6, 2025

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
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Tuberculous Spondylodiscitis after Lumbar Microdiscectomy.

Ozkan Ozger1, Necati Kaplan2

  • 1Neurosurgery Clinic, Istanbul Rumeli University, Medicalpark Canakkale Hospital, Istanbul, Turkey.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|October 10, 2020
PubMed
Summary

Tuberculosis (TB) can cause rare postoperative spondylodiscitis (PSD) after lumbar microdiscectomy (LMD). Early diagnosis and anti-TB treatment are crucial for managing this complication.

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Area of Science:

  • Infectious Diseases
  • Neurosurgery
  • Orthopedic Surgery

Background:

  • Postoperative spondylodiscitis (PSD) and osteomyelitis (POM) are potential complications following lumbar disc surgery.
  • Bacterial infections are the most common cause of PSD and POM.

Observation:

  • A 55-year-old male developed suspected tuberculosis (TB) infection at the surgical site and adjacent vertebrae eight weeks after lumbar microdiscectomy (LMD).
  • The patient tested positive for the QuantiFERON-TB Gold In-Tube (QFT-GIT) test, confirming TB-induced PSD.

Findings:

  • The patient was successfully treated with a standard anti-TB regimen including ethambutol, isoniazid, pyrazinamide, and rifampin.
  • This case highlights TB as a rare but significant etiology of PSD after LMD.

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Implications:

  • The findings underscore the importance of considering TB in the differential diagnosis of postoperative spinal infections, especially in endemic areas.
  • Early identification and appropriate anti-TB therapy are vital for favorable clinical outcomes in patients with TB-induced PSD.