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European Spine Journal

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01-06-2013 | Ideas and Technical Innovations

Bone and joint tuberculosis

Authors: Carlos Pigrau-Serrallach, Dolores Rodríguez-Pardo

Published in: European Spine Journal | Special Issue 4/2013

Abstract

Introduction

Bone and joint tuberculosis has increased in the past two decades in relation with AIDS epidemics.

Material and methods

A literature review of bone and joint tuberculosis, focusing on Pott’s disease.

Results

Bone and joint TB comprises a group of serious infectious diseases whose incidence has increased in the past two decades, especially in underdeveloped countries, in part due to the AIDS epidemic. Tuberculous spinal infections should be suspected in patients with an insidious, progressive history of back pain and in individuals from an endemic area, especially when the thoracic vertebrae are affected and a pattern of bone destruction with relative disc preservation and paravertebral and epidural soft tissue masses are observed. Atypical tuberculous osteoarticular manifestations involving the extraspinal skeleton, a prosthetic joint, or the trochanteric area, and nontuberculous mycobacterial infections should be considered in favorable epidemiological contexts. Surgery combined with prolonged specific antituberculous chemotherapy is mainly indicated in patients with neurological manifestations or deformities, and provides satisfactory results in most cases.

Conclusions

Spinal tuberculosis is still a relative common extra spinal manifestation of spinal tuberculosis that requires a high degree of suspicion in order to avoid neurological complications and need of surgery.

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Title: Bone and joint tuberculosis
Authors: Carlos Pigrau-Serrallach
Dolores Rodríguez-Pardo
Publication date: 01-06-2013
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue Special Issue 4/2013
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-012-2331-y

At a glance: The STEP trials

Springer Medicine

Bone and joint tuberculosis

Abstract

Introduction

Material and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Material and methods

Results

Conclusions

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Other articles of this Special Issue 4/2013

Drug therapy in spinal tuberculosis

Natural history of Pott’s kyphosis

Historical aspects of Pott’s disease (spinal tuberculosis) management

Late treatment of tuberculosis-associated kyphosis: literature review and experience from a SRS-GOP site

Surgical management of contiguous multilevel thoracolumbar tuberculous spondylitis

Imaging findings of Pott’s disease