Andre Evaristo Marcondes Cesar*, Leonardo Mousinho, Ricardo Rodriguez Ferreira, Lucas Ponich Clementino, Wilker Herkson de Almeida Oliveira, Tiago Ernesto Fabris Cezar, Blanca Elena Guerrero Daboin and Luciano Miller Reis Rodrigues
Volume3-Issue11
Dates: Received: 2022-11-04 | Accepted: 2022-11-16 | Published: 2022-11-17
Pages: 1321-1325
Abstract
Tuberculosis (TB) remains one of the major global causes of death; Mycobacterium Tuberculosis causes it. Approximately 10% of patients with TB may develop extrapulmonary bone tuberculosis, with the spine being the most affected, representing 1 to 2% of all TB cases. Pott disease is a form of extrapulmonary TB, and recently it has shown a significant resurgence in developed nations possibly impacted by global migration. Pott disease is often misdiagnosed or sometimes diagnosed during its late stages, which can be associated with devastating consequences to the patient. Brazil is among the top 20 countries with a high burden of tuberculosis; however, the published evidence is still limited, particularly during the last two years of the COVID-19 pandemic. Under this context, we present a clinical case of a 43 years old female patient with Pott disease with a minimally invasive surgical approach to decompress a multi-loculated abscess in the thoracic spine.
FullText HTML
FullText PDF
DOI: 10.37871/jbres1600
Certificate of Publication
Copyright
© 2022 Marcondes Cesar AE, et al. Distributed under Creative Commons CC-BY 4.0 
How to cite this article
Marcondes Cesar AE, Mousinho L, Ferreira R, de Almeida Oliveira WH, Fabris Cezar TE, Guerrero Daboin BE, Reis Rodrigues LM. Minimally Invasive Surgical Approach to Decompress a with Multi-Loculated Abscess in the Thoracic Spine: A Case Report. 2022 Nov 17; 3(11): 1321-1325. doi: 10.37871/jbres1600, Article ID: JBRES1600, Available at: https://www.jelsciences.com/articles/jbres1600.pdf
Subject area(s)
References
- WHO-a. July 6, 2022. https://www.who.int/health-topics/tuberculosis#tab=tab_1
- Moule MG, Cirillo JD. Mycobacterium tuberculosis Dissemination Plays a Critical Role in Pathogenesis. Front Cell Infect Microbiol. 2020 Feb 25;10:65. doi: 10.3389/fcimb.2020.00065. PMID: 32161724; PMCID: PMC7053427.
- World Health Organization. Global tuberculosis report 2018. WHO/CDS/TB/2018.20. Geneva: The WHO Organization; 2018.
- Viswanathan VK, Subramanian S. Pott Disease. [Updated 2022 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-Available from: https://www.ncbi.nlm.nih.gov/books/NBK538331/
- Alshoabi SA, Almas KM, Aldofri SA, Hamid AM, Alhazmi FH, Alsharif WM, Abdulaal OM, Qurashi AA, Aloufi KM, Alsultan KD, Omer AM, Daqqaq TS. The Diagnostic Deceiver: Radiological Pictorial Review of Tuberculosis. Diagnostics (Basel). 2022 Jan 25;12(2):306. doi: 10.3390/diagnostics12020306. PMID: 35204395; PMCID: PMC8870832.
- Pu F, Feng J, Yang L, Zhang L, Xia P. Misdiagnosed and mismanaged atypical spinal tuberculosis: A case series report. Exp Ther Med. 2019 Nov;18(5):3723-3728. doi: 10.3892/etm.2019.8014. Epub 2019 Sep 17. PMID: 31611930; PMCID: PMC6781804.
- Ahmed N, Khan MSI, Ahsan MK. Pott’s Paraplegia. In (Ed.), Paraplegia -New Insights [Working Title]. IntechOpen. 2022.
- Hanaoka N, Kawasaki Y, Sakai T, Nakamura T, Nanamori K, Nakamura E, Uchida K, Yamada H. Percutaneous drainage and continuous irrigation in patients with severe pyogenic spondylitis, abscess formation, and marked bone destruction. J Neurosurg Spine. 2006 May;4(5):374-9. doi: 10.3171/spi.2006.4.5.374. PMID: 16703904.
- Vaishya R, Vijay V, Agarwal AK. Video-Assisted Thoracoscopic Surgery for Drainage of Dorsal Paravertebral Abscess. Arthrosc Tech. 2017 Jul 31;6(4):e1137-e1143. doi: 10.1016/j.eats.2017.03.035. PMID: 29354409; PMCID: PMC5621866.
- Devlin VJ, Schwartz DM. Intraoperative neurophysiologic monitoring during spinal surgery. J Am Acad Orthop Surg. 2007 Sep;15(9):549-60. doi: 10.5435/00124635-200709000-00005. PMID: 17761611.
- Ruparel S, Tanaka M, Mehta R, Yamauchi T, Oda Y, Sonawane S, Chaddha R. Surgical Management of Spinal Tuberculosis-The Past, Present, and Future. Diagnostics (Basel). 2022 May 24;12(6):1307. doi: 10.3390/diagnostics12061307. PMID: 35741117; PMCID: PMC9221609.
- Eager M, Shimer A, Jahangiri FR, Shen F, Arlet V. Intraoperative neurophysiological monitoring (IONM): lessons learned from 32 case events in 2069 spine cases. Am J Electroneurodiagnostic Technol. 2011 Dec;51(4):247-63. PMID: 22303776.
- Stecker MM. A review of intraoperative monitoring for spinal surgery. Surg Neurol Int. 2012;3(Suppl 3):S174-87. doi: 10.4103/2152-7806.98579. Epub 2012 Jul 17. PMID: 22905324; PMCID: PMC3422092.
- Kapoor S, Kapoor S, Agrawal M, Aggarwal P, Jain BK Jr. Thoracoscopic decompression in Pott's spine and its long-term follow-up. Int Orthop. 2012 Feb;36(2):331-7. doi: 10.1007/s00264-011-1453-x. Epub 2012 Jan 4. PMID: 22215368; PMCID: PMC3282856.
