Atlantoaxial tuberculosis: End result evaluation.
Int J Mycobacteriol. 2017 Apr-Jun;6(2):127-131
Authors: Sridharan S, Arumugam T
BACKGROUND: Tuberculous (TB) spondylitis happens in <1% of sufferers with TB. Atlantoaxial involvement is extraordinarily uncommon amounting to zero.three%-1% instances of TB spondylitis. The administration of this entity has been fluctuating with time. Varied classifications and administration protocols have additionally developed. We current our expertise in managing this entity in Eight sufferers.
MATERIALS AND METHODS: Retrospective follow-up examine of eight sufferers with atlantoaxial TB over 2 years. They ranged in age from 14 to 33 years with male preponderance. 4 required surgical intervention on preliminary presentation, 2 have been efficiently handled conservatively, and a pair of needed to bear surgical procedure after a trial of conservative administration. All of them have been began on antituberculous remedy (ATT) for 18 months. Sufferers have been adopted up for Eight-29 months.
RESULTS: Neck ache and restriction of neck actions have been normal presenting options. All sufferers had pulmonary TB confirmed by sputum examination. Radiological investigations fashioned an integral a part of the analysis of illness, therapy plan, and prognosis. Enchancment in signs has been documented in all eight.
CONCLUSION: The involvement of essentially the most cellular spinal phase and the potential cervicomedullary compression makes it a illness of utmost significance. Though ATT stays the mainstay of therapy, surgical intervention is required for stabilizing the joint and decompressing the cervicomedullary junction. Strict adherence to medical recommendation and optimum surgical intervention tailor-made for every affected person leads to the profitable administration of the illness.
PMID: 28559512 [PubMed – indexed for MEDLINE]