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Updated: Aug 14, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
An atypical presentation of tuberculosis of the spine
K C Pande1, S K Pande, S S Babhulkar
1Susurut Hospital, Research Centre, Nagpur, India.
Abstract:
We present a retrospective analysis of 684 patients operated on for a herniated lumbar intervertebral disc. Of the 87 patients with a failed back syndrome, 12 were confirmed to have tuberculous infection of the same disc interval. These patients responded satisfactorily to bracing and a short course of anti-tubercular chemotherapy. Histopathological confirmation of the disease was obtained by CT guided biopsy, and only a few of the patients required repeat surgery. This study highlights one of the atypical presentations of tuberculosis of the spine as a herniated lumbar intervertebral disc and a cause of a failed back syndrome. Advanced imaging techniques such as MRI and CT scans are helpful in the early detection of such conditions.
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