Case Reports   |    
Tuberculosis of the Posterior Vertebral Elements: A Rare Cause of Compression of the Cauda EquinaA Case Report
Sudhir K. Kapoor, MS1; Vishal Garg, MS1; B.K. Dhaon, MS1; Mohit Jindal, MS1
1 Department of Orthopaedics, Maulana Azad Medical College and Associated Hospitals, C-610, Saraswati Vihar, Pitampura, New Delhi 110034, India. E-mail address for S.K. Kapoor: sumasudhir2003@yahoo.co.in
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at the Department of Orthopaedics, Maulana Azad Medical College and Associated Hospitals, New Delhi, India

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Feb 01;87(2):391-394. doi: 10.2106/JBJS.2928pp
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


Tuberculosis is a major public health problem in developing countries. The human immunodeficiency virus has triggered a resurgence of tuberculosis in parts of the world where the disease was sporadic or unknown in the recent past1.The spine is a common site of involvement for extrapulmonary tuberculosis. The classic picture of paradiscal involvement of two adjacent vertebrae is readily recognized and routinely managed in countries where the disease is endemic. Atypical presentations include involvement of the central part of the vertebral body (central type), involvement of the posterior elements, and neurological complications without any radiographic evidence of tuberculosis (spinal tumor syndrome)2. These unusual presentations are likely to cause a delay in the diagnosis and management. Atypical spinal tuberculosis may present with signs and symptoms of compression of the spinal cord or the cauda equina3. We report the rare case of a patient with tuberculosis of the lumbosacral spine involving the posterior elements and presenting with an acute cauda equina syndrome. Our patient was informed that data concerning the case would be submitted for publication.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    DC - Children's National Medical Center
    CT - Yale University School of Medicine
    NY - Icahn School of Medicine at Mount Sinai
    SC - Department of Orthopaedic Surgery Medical Univerity of South Carlonina