TUBERCULOUS SPONDYLITIS AND SPINAL TUBERCULOSIS

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MOGHTADERI A.; ALAVI NAEINI R.; DARVISHI M.; DAVARPANAH M.A.

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Paper Information

Journal: JOURNAL OF MEDICAL RESEARCH (JMR) Year:2005 | Volume:3 | Issue:4 Page(s): 80-89

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Information Journal Paper

Title

TUBERCULOUS SPONDYLITIS AND SPINAL TUBERCULOSIS

Author(s)

MOGHTADERI A. | ALAVI NAEINI R. | DARVISHI M. | DAVARPANAH M.A. | Issue Writer Certificate

Keywords

SPONDYLITISQ3

SPINAL TUBERCULOSISQ4

ZAHEDANQ3

Abstract

Background: Tuberculous SPONDYLITIS (TS) is considered the most dangerous and prevalent form of skeletal tuberculosis. Complications of TS can be devastating because of bone destruction, deformity and paraplegia. Therefore, early diagnosis and proper treatment are necessary to avoid long-term disabilities. Patients and Methods: In this retrospective study, tuberculous SPONDYLITIS and SPINAL TUBERCULOSIS were reported during a five-year period (1998-2003). Only those with clinical manifestations, laboratory or pathological confirmation or those who responded to treatment were included. Results: The study revealed 29 patients with tuberculous SPONDYLITIS, five patients with radiculomyelitis, one case with intramedullary tuberculosis and one case with syringomyelia secondary to tuberculous meningitis. Most of the patients were men aged 35-55 years. The most frequent clinical manifestations were fever and backache. In more than 80% of the cases PPD and ESR were helpful in the diagnosis. In 13 patients the results of pathology, smear and culture of the tissue aspirate were compatible with tuberculosis. Multiorgan involvement was observed in 42% of the patients. Thoracolumbar spines were the most frequent site of involvement in the vertebral column (41%). Eight patients (22%) needed surgical intervention. Complete recovery was seen in 29 (80%) cases. Conclusion: There are several reports of tuberculous SPONDYLITIS and SPINAL TUBERCULOSIS especially in endemic regions of the world. Clinical manifestations, imaging surveys and response to treatment are extremely helpful for diagnosis, and tissue aspirate is a good confirmatory method. Unfortunately, in comparison to other studies, positive results of the latter were not observed in our country. Early diagnosis and treatment (chemotherapy, corticosteroid therapy and surgery) are recommended to prevent severe neurologic deficits.‍

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APA: Copy

MOGHTADERI, A., ALAVI NAEINI, R., DARVISHI, M., & DAVARPANAH, M.A.. (2005). TUBERCULOUS SPONDYLITIS AND SPINAL TUBERCULOSIS. JOURNAL OF MEDICAL RESEARCH (JMR), 3(4), 80-89. SID. https://sid.ir/paper/105834/en

Vancouver: Copy

MOGHTADERI A., ALAVI NAEINI R., DARVISHI M., DAVARPANAH M.A.. TUBERCULOUS SPONDYLITIS AND SPINAL TUBERCULOSIS. JOURNAL OF MEDICAL RESEARCH (JMR)[Internet]. 2005;3(4):80-89. Available from: https://sid.ir/paper/105834/en

IEEE: Copy

A. MOGHTADERI, R. ALAVI NAEINI, M. DARVISHI, and M.A. DAVARPANAH, “TUBERCULOUS SPONDYLITIS AND SPINAL TUBERCULOSIS,” JOURNAL OF MEDICAL RESEARCH (JMR), vol. 3, no. 4, pp. 80–89, 2005, [Online]. Available: https://sid.ir/paper/105834/en

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