Secondary tuberculosis of adjacent segments after anterior cervical discectomy and fusion: A case report
IntroductionAnterior cervical discectomy and fusion (ACDF) is a common operation for spinal surgery to treat a variety of cervical diseases. The postoperative infection rate of this procedure is extremely low, and adjacent segments are rarely involved. Tuberculosis (TB) is a common infectious diseas...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1077353/full |
| _version_ | 1797959980840648704 |
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| author | Chengjiang Liu Yidong Liu Boyuan Ma Mengmeng Zhou Xinyan Zhao Xuanhao Fu Shunli Kan Wei Hu Rusen Zhu |
| author_facet | Chengjiang Liu Yidong Liu Boyuan Ma Mengmeng Zhou Xinyan Zhao Xuanhao Fu Shunli Kan Wei Hu Rusen Zhu |
| author_sort | Chengjiang Liu |
| collection | DOAJ |
| description | IntroductionAnterior cervical discectomy and fusion (ACDF) is a common operation for spinal surgery to treat a variety of cervical diseases. The postoperative infection rate of this procedure is extremely low, and adjacent segments are rarely involved. Tuberculosis (TB) is a common infectious disease that affects the spine in less than 1% of cases and is more common in the thoracolumbar and rarely cervical spine. Herein, for the first time, we report tuberculosis infection in adjacent segments after ACDF.Case presentationWe report a 50-year-old patient with cervical spondylotic myelopathy (CSM) who was discharged from the hospital after receiving ACDF at the C3/4 level. Two months later, he was admitted to the hospital with neck pain and found to be infected with tuberculosis in C4/5. After 4 months of anti-tuberculosis treatment, the vertebral body was fused.ConclusionAfter ACDF, the adjacent cervical vertebrae were infected with TB but the infection was limited. We believe that the special vertebral blood supply and postoperative secondary blood-borne infection may lead to the occurrence of extrapulmonary tuberculosis. |
| first_indexed | 2024-04-11T00:39:29Z |
| format | Article |
| id | doaj.art-b2a4697ed5f044bdb02319d6a941ffce |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T00:39:29Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-b2a4697ed5f044bdb02319d6a941ffce2023-01-06T09:11:19ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.10773531077353Secondary tuberculosis of adjacent segments after anterior cervical discectomy and fusion: A case reportChengjiang LiuYidong LiuBoyuan MaMengmeng ZhouXinyan ZhaoXuanhao FuShunli KanWei HuRusen ZhuIntroductionAnterior cervical discectomy and fusion (ACDF) is a common operation for spinal surgery to treat a variety of cervical diseases. The postoperative infection rate of this procedure is extremely low, and adjacent segments are rarely involved. Tuberculosis (TB) is a common infectious disease that affects the spine in less than 1% of cases and is more common in the thoracolumbar and rarely cervical spine. Herein, for the first time, we report tuberculosis infection in adjacent segments after ACDF.Case presentationWe report a 50-year-old patient with cervical spondylotic myelopathy (CSM) who was discharged from the hospital after receiving ACDF at the C3/4 level. Two months later, he was admitted to the hospital with neck pain and found to be infected with tuberculosis in C4/5. After 4 months of anti-tuberculosis treatment, the vertebral body was fused.ConclusionAfter ACDF, the adjacent cervical vertebrae were infected with TB but the infection was limited. We believe that the special vertebral blood supply and postoperative secondary blood-borne infection may lead to the occurrence of extrapulmonary tuberculosis.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1077353/fulltuberculosisanterior cervical discectomy and fusionadjacent segment infectioncervical spinecervical spondylotic myelopathy |
| spellingShingle | Chengjiang Liu Yidong Liu Boyuan Ma Mengmeng Zhou Xinyan Zhao Xuanhao Fu Shunli Kan Wei Hu Rusen Zhu Secondary tuberculosis of adjacent segments after anterior cervical discectomy and fusion: A case report Frontiers in Surgery tuberculosis anterior cervical discectomy and fusion adjacent segment infection cervical spine cervical spondylotic myelopathy |
| title | Secondary tuberculosis of adjacent segments after anterior cervical discectomy and fusion: A case report |
| title_full | Secondary tuberculosis of adjacent segments after anterior cervical discectomy and fusion: A case report |
| title_fullStr | Secondary tuberculosis of adjacent segments after anterior cervical discectomy and fusion: A case report |
| title_full_unstemmed | Secondary tuberculosis of adjacent segments after anterior cervical discectomy and fusion: A case report |
| title_short | Secondary tuberculosis of adjacent segments after anterior cervical discectomy and fusion: A case report |
| title_sort | secondary tuberculosis of adjacent segments after anterior cervical discectomy and fusion a case report |
| topic | tuberculosis anterior cervical discectomy and fusion adjacent segment infection cervical spine cervical spondylotic myelopathy |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1077353/full |
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