| A Case of Spinal
Tuberculosis with Posterior Element Involvement. |
| 후궁을 침범한 척추 결핵 1례 |
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편영식; 송광순; 강철형 |
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| Abstract |
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Though the incidence of
tuberculous spondylitis in Korea has been steadily reduced recently; it is not uncommon yet. But the incidence of appendiceal tuberculosis of the spine that is involving the posterior element of the spine is very rare. The diagnosis of this entity is often delayed because involvement of posterior element is poorly visualized by conventional radiograph. The computed tomography is much more sensitive method in visualization of the lesion. Paraplegia is a common complication of this entity because of 1) vicinity of the lesion to the spinal cord; tuberculous products can directly compress the spinal cord and partly because of 2) missing the diagnosis or delayed diagnosis. So the diagnosis of the posterior element tuberculosis should be kept in mind when vague radiological change is noted in conventional radiograph in patient with clinical symptoms. The bone scan; computed tomography or MRI is highly recommended for visualization of the lesion in such a case; thus leading to early diagnosis.
Authors have experienced a case of spinal tuberculosis involving posterior elements which was confirmed by surgical biopsy and we are reporting this case with a review of literatures.
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| Key Words:
Posterior element
involvement, Spondylitis, Tuberculosis |
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