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Characteristics and management of spinal tuberculosis: A case series and literature review

  • Ade Wirdayanto ,
  • Jeremia Prastya Pardede ,
  • Dhany Febriantara ,
  • Enny Lestari ,

Abstract

Background: Spinal tuberculosis is a destructive form of tuberculosis. Spinal tuberculosis is more common in children and young adults. This can result in serious complications if left untreated or treated inadequately. Early diagnosis and management of this disease are mandatory to prevent serious complications.

Methods: This serial case report including nine patients was conducted at Arifin Achmad and Awal Bros Pekanbaru Hospital from October 2022 until September 2023. These subjects were profiled for demographics, clinical presentation with a follow-up of one month, imaging findings, and surgical approach.

Results: The average age was 32 years old, predominantly female (55%). Back pain was reported as the most frequent clinical symptom (100%) with several complaints of radiating pain (33.3%). The most common vertebral segment was the thoracal (66.7%). All subjects received chemotherapy and surgical treatment, of which eight subjects (88.9%) received a posterior approach. Preoperatively, the majority of subjects were classified with grade D (44.4%) on the American Spinal Injury Association (ASIA) neurological impairment scale. The postoperative outcome was generally good, with improvement to ASIA grade E (55.6%).

Conclusion: Early management of spinal tuberculosis is mandatory to maintain a good prognosis and recovery. Surgical treatment for spinal tuberculosis, if performed early with good decompression, results in a satisfactory clinical outcome with early improvement in neurological deficits. The posterior and anterior approaches to the spine with decompression and fixation give good results.

Keywords: spinal tuberculosis, tuberculosis, management, surgical approach

How to Cite

Ade Wirdayanto, Jeremia Prastya Pardede, Dhany Febriantara, & Enny Lestari. (2024). Characteristics and management of spinal tuberculosis: A case series and literature review. Indonesian Journal of Neurosurgery, 7(1), 22–27. https://doi.org/10.15562/ijn.v7i1.263

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Ade Wirdayanto
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Jeremia Prastya Pardede
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Dhany Febriantara
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Enny Lestari
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