scholarly journals Surgical management of spinal tuberculosis with a two-stage posterior instrumentation with bridging: a case report

2021 ◽  
Vol 2021 (9) ◽  
Author(s):  
Faisal Mohammedsaleh Konbaz ◽  
Suhail Saad Alassiri ◽  
Sami Ibrahim Al Eissa ◽  
Majed Salah Abaalkhail ◽  
Hassan Nezar Khdary ◽  
...  
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Bone Healing ◽  
Surgical Procedure ◽  
Posterior Instrumentation ◽  
Spinal Tuberculosis ◽  
Two Stage ◽  
Posterior Decompression ◽  
Bridging Technique ◽  
Extrapulmonary Manifestation

Abstract Tuberculosis (TB) affects millions of people every year. Spinal TB is a common extrapulmonary manifestation of the disease. Spinal TB can be devastating and carries an unfortunate outcome. Herein, we present an atypical spinal TB that was treated initially based on intraoperative cultures with posterior decompression and instrumentation of T11–L3 with directed antibiotic therapy. Recurrence of the lesion and failure of instrumentation necessitated further investigation and intervention 1 year later. Using a two-stage surgical procedure leaving the infected spine to heal first with directed anti-TB medications. The patient was managed using posterior instrumentation with bridging from T5 to the pelvis, spanning the destructed area and utilizing a bridging technique with multiple rod constructs across the infected spine. Here, we present the benefit of using the bridging technique to promote bone healing and achieve a solid fixation.

scholarly journals Thoraco lumbar spinal tuberculosis-assessment of functional outcome following posterior decompression and posterior instrumentation

2018 ◽  
Vol 5 (1) ◽  
pp. 109
Author(s):  
Shanmuga Sundaram Pooswamy ◽  
Niranjanan Raghavn Muralidharagopalan
Keyword(s):  
Blood Loss ◽  
Neurological Deficit ◽  
Posterior Instrumentation ◽  
Spinal Tuberculosis ◽  
Operating Time ◽  
Single Stage ◽  
Long Term Results ◽  
Posterior Decompression ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Spinal tuberculosis is the most common form of extra pulmonary tuberculosis. Complications of untreated spinal tuberculosis include neurological deficit and gibbus deformity. Treatment of spinal TB can be surgical or conservative. Surgical treatment is the mainstay in spinal tuberculosis with neurological deficit. Various approaches to surgical management are anterior only, combined anterior &amp; posterior and posterior only. Posterior only approach is less traumatic and more familiar to orthopaedicians.</p><p class="abstract"><strong>Methods:</strong> 23 patients diagnosed of spinal tuberculosis with neurological involvement who underwent single stage posterior decompression and posterior stabilization were analyzed with ASIA grading and VAS score..<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean age of the study population was 48.86. There were 12 females and 11 males. The mean operative time and blood loss were 152.19 minutes and 265 ml. Increasing age correlated with blood loss and operating time. The mean follow up period was 36.21 months. There were significant differences in the ASIA and the VAS scores when pre-operative, immediate post-op and final follow up where compared.</p><p><strong>Conclusions:</strong> Single stage posterior decompression and instrumentation is a safe and effective procedure in the treatment of tuberculous spondylodiscitis with neurological deficit and a kyphotic angle &lt;60<sup>o</sup>. The long-term results are better because of posterior instrumentation, which provide stability and the healing anteriorly following antituberculous treatment.</p>

A Rare Case of Spinal Leprosy Mimicking Spinal Tuberculosis

2019 ◽  
pp. 33
Author(s):  
K Thuraikumar ◽  
V Naveen ◽  
Mustaqim A ◽  
Arieff AA ◽  
K Shri ◽  
...  
Keyword(s):  
Back Pain ◽  
Soft Tissue ◽  
Histopathological Examination ◽  
Posterior Instrumentation ◽  
Spinal Tuberculosis ◽  
Previous History ◽  
Skin Lesions ◽  
Titanium Implants ◽  
Paravertebral Abscess ◽  
History Of

Introduction: Spinal tuberculosis is the most common manifestation of extrapulmonar y tuberculosis. A combination of leprosy and tuberculosis is a rare entity.Case report: A 44-year-old male patient working as a laborer presented to our hospital with complaints of severe back pain and swelling over the back, difficulty in walking, associated with constitutional symptoms. On admission, he was febrile and had leukocytosis. Initial spine X-ray showed end plate destruction and increase in soft tissue shadow at the level of T8-T9. CT spine revealed thoracic paravertebral collection extending from T7 to T9 levels, suggest ive of tuberculous spondylitis with cold abscess. Patient refused a transpedicular biopsy and was started on anti-tubercular therapy. Two weeks after commencement of treatment, he developed worsening back pain and weakness of the lower extremities. MRI spine showed a paravertebral abscess and posterior soft tissue edema involving level of T7 to T11. Patient underwent a posterior decompression, debridement and posterior instrumentation. He was discharged well, there was improvement of his lower limb power. Upon clinic review, he complained of multiple hyperpigmented, painless, nonpruritic skin lesions over the trunk and back. No previous history of eczema, psoriasis and Tinea corporis. Given the history of allergy, initial impression was hypersensitivity reaction towards the titanium implants, and he was started on anti-histamines. However, there was no improvements seen. Histopathological examination of skin lesions revealed presence of granuloma within the dermis layer, composed of epitheloid, histiocytes, lymphocytes and plasma cells. Wade-Fite stain for Mycobacterium leprae is positive. Slit skin smear shows multibacillary leprosy. Patient was started on multidrug therapy (rifampicin, clofazimine and dapsone) for 1 year. He has recovered well.International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 33

Successful Treatment of Severe Complicated Cholangitis Using Regional Antibiotic Therapy (Case Report)

2016 ◽  
Vol 0 (1-2.30-31) ◽  
pp. 78
Author(s):  
V.I. Desiateryk ◽  
O.V. Kotov ◽  
O.V. Brovko ◽  
K.P. Alimov ◽  
O.A. Hul
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Successful Treatment

scholarly journals Laparoscopic two-stage operation for rectal cancer with refractory obstructive colitis after kidney transplantation: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Atsuro Fujinaga ◽  
Tomonori Akagi ◽  
Tsuyoshi Etoh ◽  
Kazuhiro Tada ◽  
Yusuke Itai ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Kidney Transplantation ◽  
Case Report ◽  
Two Stage ◽  
Obstructive Colitis

scholarly journals Brain Abscess Caused by Nocardia: Case Report and Literature Review

2020 ◽  
Author(s):  
Guilherme Finger ◽  
Maria Eduarda Conte Gripa ◽  
Tiago Paczko Bozko Cecchini ◽  
Tobias Ludwig do Nascimento
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Brain Abscess ◽  
Clinical Signs ◽  
Occipital Lobe ◽  
High Morbidity ◽  
Rare Clinical Entity ◽  
Brain Abscesses

AbstractNocardia brain abscess is a rare clinical entity, accounting for 2% of all brain abscesses, associated with high morbidity and a mortality rate 3 times higher than brain abscesses caused by other bacteria. Proper investigation and treatment, characterized by a long-term antibiotic therapy, play an important role on the outcome of the patient. The authors describe a case of a patient without neurological comorbidities who developed clinical signs of right occipital lobe impairment and seizures, whose investigation demonstrated brain abscess caused by Nocardia spp. The patient was treated surgically followed by antibiotic therapy with a great outcome after 1 year of follow-up.

Two Stage Surgical Treatment of Cuboid Osteomyelitis. A Case Report and Review of the Literature

The Foot ◽  
2021 ◽  
pp. 101796
Author(s):  
Elias S. Vasiliadis ◽  
Christos Vlachos ◽  
Angelos Antoniades ◽  
Eftychios Papagrigorakis ◽  
Matthaios Bakalakos ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Review Of The Literature ◽  
Two Stage

A Nephron-Sparing Surgical Procedure for Fraley's Syndrome. A Case Report

2002 ◽  
Vol 12 (5) ◽  
pp. 341-344 ◽  
Author(s):  
M. Biočić ◽  
M. Saraga ◽  
J. Mašković ◽  
Đ. Vukić-Košuljandić ◽  
M. Saraga-Babić ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Procedure ◽  
Nephron Sparing
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