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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2025, Number 2

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Cir Columna 2025; 3 (2)

Vertebral tuberculosis: literature review and case report

Calderón VJR, Villalvazo BA, Hinojosa MLM, Murillo RJ

Language: Spanish
References: 12
Page: 133-138
PDF size: 268.56 Kb.


ABSTRACT

Introduction: spinal tuberculosis is one of the oldest infections reported in the history of humanity, for which the predisposing risk factors are clearly established, as well as the imaging findings obtained during the diagnostic protocol. As for laboratory studies and histopathology tests, as well as molecular tests, a high degree of clinical suspicion must be present to make the request for them. Once the causative agent has been identified, the corresponding therapy is initiated with the appropriate evolution and incorporation into the activities of daily life of our patient. Case presentation: A 77-year-old female patient reported a seven-month history of the current condition, consisting of the onset of pain in the dorsal region of increasing intensity to the point of preventing walking; after unsuccessful management with conservative treatment, surgical management was decided by taking a biopsy plus anterior decompression by means of corpectomy and stabilization. Once the causative agent has been identified, the corresponding therapy is initiated with the appropriate evolution and incorporation into the activities of daily life of our patient. Conclusion: spinal tuberculosis is still active in several states of our country, so it should not be ruled out as a possible etiological agent of a spinal infectious process, since the direction of the diagnostic protocol towards the search for this etiological agent should have a high degree of suspicion. Surgical treatment was performed based on the principles of debridement with biopsy for culture and histology, decompression, and subsequent stabilization. In our clinical case, we observed an adequate evolution and incorporation into the activities of daily life of our patient.


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