AI Article Synopsis
- A 26-year-old male with severe spinal tuberculosis faced worsening back pain for five years, initially managed with over-the-counter medication but refused surgery, leading to significant disease advancement.
- Imaging in 2022 confirmed tuberculosis after a biopsy, showing extensive infection and large abscesses, despite a year of anti-tuberculous therapy.
- The patient underwent a successful two-stage surgical intervention, resulting in pain relief and no neurological issues, emphasizing the need for timely diagnosis and comprehensive treatment in severe cases.
Article Abstract
Objective: We present the case of a 26-year-old male with severe spinal tuberculosis of the thoracolumbar region. The patient suffered from worsening back pain over five years, initially responding to over-the-counter analgesics. Despite being proposed surgery in 2019, the patient refused the intervention and subsequently experienced significant disease progression.
Methods: Upon re-presentation in 2022, mild involvement of the T12-L1 vertebrae was recorded by imaging, leading to a percutaneous needle biopsy which confirmed tuberculosis. Despite undergoing anti-tuberculous therapy for one year, the follow-up in 2024 revealed extensive infection from T10 to S1, with large psoas abscesses and a pseudo-tumoral mass of the right thigh. The patient was ultimately submitted to a two-stage surgical intervention: anterior resection and reconstruction of T11-L1 with an expandable cage, followed by posterior stabilization from T8-S1.
Results: Postoperative recovery was uneventful, with significant pain relief and no neurological deficits. The patient was discharged on a continued anti-tuberculous regimen and remains under close surveillance.
Conclusions: This paper presents details on the challenges of diagnosis and management of severe spinal tuberculosis, with emphasis on the importance of timely intervention and multidisciplinary care.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507176 | PMC |
| http://dx.doi.org/10.3390/idr16050080 | DOI Listing |
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