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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
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Extract

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.
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    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.
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