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Chronic sciatica caused by tuberculous sacroiliitis. A case report

W S Chen1

  • 1Department of Orthopedic Surgery, Chang-Gung Medical College, Kaohsiung, Taiwan.

Spine
|May 15, 1995
PubMed
Summary
This summary is machine-generated.

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Tuberculosis sacroiliitis with an anterior synovial cyst can cause chronic sciatica. Surgical drainage and a 9-month drug regimen led to complete recovery in a rare case.

Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Radiology

Background:

  • Tuberculous sacroiliitis is a rare condition that can present as chronic sciatica.
  • This case report details a 58-year-old woman with tuberculous sacroiliitis and an anterior synovial cyst causing chronic sciatica.

Observation:

  • Clinical manifestations, physical findings, and computed tomography (CT) scans were analyzed.
  • CT revealed sacroiliitis with an anterior synovial cyst.
  • Physical examination included pelvic compression, Gaenslen's, and Patrick's tests.

Findings:

  • Löwenstein-Jensen culture and histology confirmed tuberculous sacroiliitis.
  • Surgical posterior arthrotomy and cyst drainage were performed.
  • The patient received 9 months of multi-drug antituberculosis therapy post-surgery.

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  • At 3-year follow-up, the patient experienced complete functional recovery with no pain or sciatica.

    • Implications:

    • Tuberculous sacroiliitis with anterior synovial cyst is a rare cause of chronic sciatica.
    • CT is a valuable diagnostic tool for sacroiliitis.
    • Surgical intervention combined with antituberculosis therapy is effective for this condition.