Ineffective one-stage surgical treatment of disseminated tuberculous spondylitis: a clinical case and literature review

Abstract

The paper presents a clinical case of ineffective one-stage surgical treatment of disseminated tuberculous spondylitis. Female patient with extensive destruction of the vertebrae was treated by simultaneously performed posterior decompression and drainage of the abscess and short posterior fixation using dynamic titanium nickelide implant. After 4 months, inadequate primary surgical sanitation of the inflammation focus through posterior approach resulted in the progression of tuberculosis lesions of the spine. After repeated staged surgical treatment, the patient achieved favorable outcome of the disease. A review of the literature on disseminated forms of tuberculosis spondylitis has shown that at present there are staged and single-step approaches to the treatment of this disease. Most modern researchers of tuberculosis spondylitis tend to single-step combined operations.

Keywords

• tuberculosis spondylitis
• disseminated forms
• complications
• surgical treatment