[Successful surgical intervention for lumbar tuberculous spondylodiscitis in spite of delayed indication - 5 year follow-up].

Abstract:

:Tuberculosis constitutes an important clinical entity with 90 million new infections worldwide during the last decade. 10 % of these infections affect osseous structures based on haematogenous spread. Therefore, tuberculous spondylodiscitis remains a major illness in orthopaedics which needs to be considered in cases of unspecific back pain. Pathognomonic characteristics are absent and clinical, chemical and radiological parameters are not reliable. The consequences of a delayed surgical intervention are discussed based on a case report with 5 year follow-up. Both adequate early CT and MRI scans and identification of the pathogen are essential in order to plan the therapy. Final re-evaluation of a conservative treatment regime needs to be done no later than six to eight weeks depending on the clinical constellation. Persistent or progressive spondylodiscitis with osseous destructions or neurological deficits demands a radical surgical intervention.

journal_name

Z Orthop Unfall

authors

Spies CK,Ohnsorge JA,Weisskopf M

doi

10.1055/s-2008-1039246

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

225-30

issue

2

eissn

1864-6697

issn

1864-6743

journal_volume

147

pub_type

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