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Updated: May 10, 2025
A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
Treatment of C2 tuberculosis using C1-3 inter-lateral mass structural bone graft and short segment fixation: a case
Guanghai Zhao1, Haihong Zhang1, Jing Wang1,2
1Department of Orthopedics, Lanzhou University Second Hospital, Lanzhou, China.
Background:
Tuberculosis (TB) infections involving the C2 vertebra (C2 TB) are uncommon and surgery is their primary treatment. Although occipitocervical fusion is presently the main surgical intervention for the disease-helping in restoring spinal stability, it inevitably compromises cervical mobility, significantly impacting patients' postoperative quality of life.
Case Report:
A 39-year-old female with C2 TB underwent a single posterior route lesion removal, structural bone graft between the C1-3 lateral masses, and short segment fixation from C1-3. A one-year follow-up showed significant recovery with minimal clinical complications. Neck rotation was slightly restricted, whereas neck flexion and extension remained unaffected.
Conclusions:
This case demonstrates the technical viability of a C1-3 inter-lateral mass structural bone graft with short segment fixation for C2 TB.
