46-248
Espondilitis tuberculosa no es una metástasis vértebral: diagnóstico diferencial y tratamiento quirúrgico. A propósito de un caso.
Tuberculosis spondylitis is not a vertebral metastasis: differential diagnosis and surgical treatment. A case report.
S. PÉREZ VERGARA, I. MORENO GARCÍA, M. GARCÉS HERNÁNDEZ, T. BAS HERMIDA, P. BAS HERMIDA, I. ESCRIBÁ SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL UNIVERSITARIO LA FE DE VALENCIA
Recepción:
27/03/2012
Aceptación:
27/03/2012
Publicación:
27/03/2012
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Resumen (ES)
We report a patient with back pain and neurological symptoms several months of evolution to the test image was wrongly diagnosed with spinal metastases without prior confirmation with biopsy. The progressive deterioration of neurological and new imaging confirmed the diagnosis of spinal tuberculosis. The patient was treated by curettage, debridement, anterior interbody fusion and internal fixation in addition to medical treatment. There neurological recovery of sensory function, motor and sphincter almost complete month after the intervention. After 20 months of evolution, the patient is asymptomatic without evidence of disease progression.
Palabras clave (ES):
Raquis.
Infección.
TBC.
Tuberculosis.
Vértebra.
Metástasis
vértebral
Resumen (EN)
We report a patient with back pain and neurological symptoms several months of evolution to the test image was wrongly diagnosed with spinal metastases without prior confirmation with biopsy. The progressive deterioration of neurological and new imaging confirmed the diagnosis of spinal tuberculosis. The patient was treated by curettage, debridement, anterior interbody fusion and internal fixation in addition to medical treatment. There neurological recovery of sensory function, motor and sphincter almost complete month after the intervention. After 20 months of evolution, the patient is asymptomatic without evidence of disease progression.
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