Title: Tuberculosis of Lumbosacral Spine: Infrequent Site of Involvement in Spinal Tuberculosis
Authors: Dr Akhilesh Kumar Singh, Dr Ashwini Kumar Nigam, Dr Chandan Gupta
DOI: https://dx.doi.org/10.18535/jmscr/v6i11.83
Abstract
Spinal tuberculosis usually involves dorsolumbar regions. Involvement of lumbosacral region is rare with few reported cases in literature. The patient with lumbosacral spinal tuberculosis may presents with low back pain with or without neurological deficits. Conservative management is primary mode of therapy; surgical intervention is required in selected group of patients.
Keywords: Lumbosacral tuberculosis, spinal tuberculosis, skeletal tuberculosis.
References
- Pertuiset E, Beaudreuil J, Liotd F, Horusitzky A, Kemiche F, Richette P, et al. Spinal tuberculosis in adults. A study of 103 cases in a developed country, 1980–1994. Medicine (Baltimore) 1999; 78:309–320.
- Yao DC, Sartoris DJ. Musculoskeletal tuberculosis. RadiolClin North Am 1995; 33:679–689.
- Hodgson AR, Skinsnes OK, Leong CY. The pathogenesis of Pott’s paraplegia. J Bone Joint Surg Am 1967; 49:1147–1156.
- Cabral MML, AzevedoBCCdA, Montenegro LML, Montenegro RdA, Lima AS, Schindler HC. Tuberculous spondylitis in teenager. J Bras Pneumol 2005; 31:261–264.
- Jain AK, Aggarwal A, Mehrotra G. Correlation of canal encroachment with neurological deficit in tuberculosis of the spine. IntOrthop 1999; 23:85–86.
- Jain AK, Dhammi IK. Tuberculosis of the spine: a review. ClinOrthopRelat Res 2007; 460:39–49.
- Jain AK. Tuberculosis of the spine: a fresh look at an old disease. J Bone Joint Surg Br 2010; 92:905–913.
- Song JF, Jing ZZ, Chen B, Ai ZS, Hu W. One-stage anterolateral surgical treatment for lumbosacral segment tuberculosis. IntOrthop 2012; 36:339–344.
- Pun WK, Chow SP, Luk KD, Cheng CL, Hsu LC, Leong JC. Tuberculosis of the lumbosacral junction. Long-term follow-up of 26 cases. J Bone Joint Surg Br 1990; 72:675–678.
- Tuli SM. Results of treatment of spinal tuberculosis by ‘middle-path’ regime. J Bone Joint Surg Br 1975; 57:13–23.
- Bezer M, Kucukdurmaz F, Aydin N, Kocaoglu B, Guven O. Tuberculous spondylitis of the lumbosacral region: long-term follow-up of patients treated by chemotherapy, transpedicular drainage, posterior instrumentation, and fusion. J Spinal Disord Tech 2005; 18:425–429.
- Bhojraj S, Nene A. Lumbar and lumbosacral tuberculous spondylodiscitis in adults. Redefining the indications for surgery. J Bone Joint Surg Br 2002; 84:530–534.
- Wellons JC, Zomorodi AR, Villaviciencio AT, Woods CW, Lawson WT, Eastwood JD. Sacral tuberculosis: a case report and review of the literature. SurgNeurol 2004; 61:136–139 discussion 139–141.
- Bell GR, Stearns KL, Bonutti PM, Boumphrey FR. MRI diagnosis of tuberculous vertebral osteomyelitis. Spine (Phila Pa 1976) 1990; 15:462–465.
- Desai SS. Early diagnosis of spinal tuberculosis by MRI. J Bone Joint Surg Br 1994; 76:863–869.
- Kim NH, Lee HM, Suh JS. Magnetic resonance imaging for the diagnosis of tuberculous spondylitis. Spine (Phila Pa 1976) 1994; 19:2451–2455.
- Patankar T, Krishnan A, Patkar D, Kale H, Prasad S, Shah J, Castillo M Imaging in isolated sacral tuberculosis: a review of 15 cases. Skeletal Radiol 2000; 29:392–396.
- Weaver P, Lifeso RM. The radiological diagnosis of tuberculosis of the adult spine. Skeletal Radiol 1984; 12:178–186.
- Moore SL, Rafii M. Imaging of musculoskeletal and spinal tuberculosis. RadiolClin North Am 2001; 39:329–342.
- De Vuyst D, Vanhoenacker F, Gielen J, Bernaerts A, de Schepper AM. Imaging features of musculoskeletal tuberculosis. EurRadiol 2003; 13:1809–1819.
- Engin G, Acunaş B, Acunaş G, Tunaci M. Imaging of extrapulmonary tuberculosis. Radiographics 2000;20:471–488. quiz 529.
- Van de Kelft E, van Vyve M, Parizel PM, Selosse P, de Schepper A. MR imaging of tuberculous spondylitis. J BelgeRadiol 1992; 75:202–204.
- Maiuri F, Iaconetta G, Gallicchio B, Manto A, Briganti F. Spondylodiscitis. Clinical and magnetic resonance diagnosis. Spine (Phila Pa 1976) 1997; 22:1741–1746.
- De Backer AI, Mortelo KJ, Vanschou-broeck IJ, Deeren D, Vanhoenacker FM, de Keulenaer BL, et al. Tuberculosis of the spine: CT and MR imaging features. JBR-BTR 2005; 88:92–97.
- Nussbaum ES, Rockswold GL, Bergman TA, Erickson DL, Seljeskog EL. Spinal tuberculosis: a diagnostic and management challenge. J Neurosurg 1995; 83:243–247.
- Rezai AR, Lee M, Cooper PR, Errico TJ, Koslow M. Modern management of spinal tuberculosis. Neurosurgery 1995; 36:87–97. discussion 97
- Hamzaoglu A Floman Yed. Granulomatous infections of the spine. State of the art reviews – spinal infections1999. Hanley and Belfus Philadelphia, PA:45–78.
- Moon MS, Moon YW, Moon JL, Kim SS, Sun DH. Conservative treatment of tuberculosis of the lumbar and lumbosacral spine. Clin Orthop Relat Res 2002; 398:40–49.
- Parthasarathy V, Modestino JW, Vastola KS. Reliable transmission of high-quality video over ATM networks. IEEE Trans Image Process 1999; 8:361–374.
- Upadhyay SS, Saji MJ, Yau AC. Duration of antituberculosis chemotherapy in conjunction with radical surgery in the management of spinal tuberculosis. Spine (Phila Pa 1976) 1996; 21:1898–1903.
- Griffith D. Short-course chemotherapy in the treatment of spinal tuberculosis. J Bone Joint Surg Br 1986; 68:158–165.
- Moon MS. Tuberculosis of the spine. Controversies and a new challenge. Spine (Phila Pa 1976) 1997; 22:1791–1797.
- Pertuiset E. Medical therapy of bone and joint tuberculosis in 1998. Rev RhumEngl Ed 1999; 66:152–157.
