19 Harley St, London, W1G 9QJ, UK

Clinical features and outcomes of spinal tuberculosis in southern Taiwan

BACKGROUND/PURPOSE: The early diagnosis and appropriate management of spinal tuberculosis (TB) is challenging for clinicians. This study aimed to characterize the clinical features and factors affecting treatment outcomes. METHODS: A retrospective study of patients with spinal TB over a 7-year period at a medical center in southern Taiwan was conducted. Clinical features, underlying diseases, laboratory results, imaging findings, therapy, treatment duration and outcomes were analyzed. RESULTS: Forty-eight patients (24 men and 24 women) were diagnosed with spinal TB. Their mean age was 64.3 years. The most common presenting symptoms were backache, neurological deficits, and fever. The most common vertebral area involved was lumbar spine (41.7%). The mean number of vertebra involved was 2.46. Surgery was carried out on 30 patients (62.5%). Patients who had a longer duration of symptoms prior to diagnosis were more likely to have surgery (p = 0.03), and patients who received surgery had a more favorable outcome (p = 0.063). The mean treatment course was 11.4 +/- 3.7 months. A long course treatment did not contribute to favorable outcomes. Twenty-six patients had a favorable outcome and 11 had an unfavorable outcome. Factors associated with an unfavorable outcome included older age, limb weakness, incontinence, spinal kyphotic deformity, and spinal cord compression. CONCLUSION: For elderly patients with chronic back pain in Taiwan, the differential diagnosis of spinal TB should be considered. Image studies and computed tomography-guided aspiration are helpful for early detection. Combined surgical intervention tended to have a more favorable outcome and longer treatment periods had no additional benefit

Keywords : administration & dosage,Adolescent,Adult,Age Distribution,Aged,Aged,80 and over,Antitubercular Agents,Back Pain,Biopsy,Child,diagnosis,drug therapy,Early Diagnosis,etiology,Female,Fever,Humans,Lumbosacral Region,Male,methods,Middle Aged,Nervous System Diseases,Pain,pathology,Retrospective Studies,Spinal Cord,Spinal Cord Compression,Spine,surgery,Taiwan,therapy,Time Factors,Tomography,X-Ray Computed,Treatment Outcome,Tuberculosis,Tuberculosis,Spinal,Young Adult,, Features,Outcomes,Spinal, iliolumbar ligament pain

Date of Publication : 2010 Aug

Authors : Su SH;Tsai WC;Lin CY;Lin WR;Chen TC;Lu PL;Huang PM;Tsai JR;Wang YL;Feng MC;Wang TP;Chen YH;

Organisation : Department of Internal Medicine, Kaohsiung Municipal United Hospital, Kaohsiung, Taiwan

Journal of Publication : J Microbiol Immunol Infect

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20688289

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Clinical features and outcomes of spinal tuberculosis in southern Taiwan | How long does a suprascapular nerve block last

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810