TUBERCULOUS OSTEOMYELITIS OF SPINE: A CASE REPORT

Abstract

A large number of people worldwide suffer with spinal tuberculosis (TB). Prior to the pandemic, the incidence of tuberculosis was declining by roughly 1.8% annually; however, COVID-19 has complicated this trend, causing it to increase by 4.5% in 2020 and 2021. Spinal TB is a rare incidence in all TB patients. The management may involve multiple factors, such as location, severity, and symptom, and this case illustrates some of the things to take into account when diagnosing and treating patients.  We have a 30-year-old woman who has had upper back pain for a year. The discomfort is modest to severe and radiates to the lower limbs and chest without any weakening or difficulties. Two weeks ago, the patient began five days of physical therapy. Despite taking analgesics, the patient's pain did not go away. Her cervical spine magnetic resonance imaging revealed features suggestive of spondylodiscitis of the cervico-dorsal spine with paravertebral and posterior epidural collections, and it was defined as possibly infectious (tubercular etiology should be explored). She had no prior history of TB symptoms or pulmonary TB. Clinical association suggested by a well-defined T2/STIR hyperintense lesion in the valleculae. Following a diagnosis of Pott’s disease, TB arthritis, TB spondylitis, and TB osteomyelitis of the spine, as well as 23 days of anti-TB treatment, an operation was conducted. The procedure involved cervico dorsal fixation with laminectomy and decompression with abscess drainage, C6 lateral mass, and D1 pedical screw fixation with realignment of cervicodorsal fixation.