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Cervical Spinal Epidural Abscess Due to Mycobacterium tuberculosis without Osseous Involvement

A Case Report

Esteves, Sofia, MD1,a; Catarino, Isabel, MD1; Robles, Diogo, MD1; Lopes, Daniel, MD1; Silva, Fernando, MD1; de Sousa, Carlos, MD1

doi: 10.2106/JBJS.CC.15.00287
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Disclosures

Case: We present a rare case of cervical spinal epidural abscess due to Mycobacterium tuberculosis without osseous involvement that was treated with decompression and arthrodesis in a 2-stage procedure.

Conclusion: Spinal epidural abscess due to Mycobacterium tuberculosis is the least common of the various forms of spinal tuberculosis. This abscess represents a severe infection of the epidural space that can compromise neural elements and can require urgent surgical intervention to avoid permanent neurological deficits. Early diagnosis and early decompression remain the 2 most important predictors of a successful neurological outcome.

1Serviço de Ortopedia do Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal

aE-mail address for S. Esteves: sofiaestevesvieira@gmail.com

Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated
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