Atypical, multilevel and noncontiguous tuberculous spondylitis that affected the vertebrae of thoracic, lumbar and sacrum: a case report.
OBJECTIVE
Tuberculous spondylitis (TS, also called Spinal tuberculosis, Pott's spine or Pott's disease) is a common extrapulmonary manifestation of tuberculosis (TB), but multilevel, noncontiguous TS cases are rare.


METHODS
Physical examination, CT, MRI imaging, percutaneous biopsy and other lab tests were used to confirm the diagnosis.


RESULTS
we report a rare case of atypical, multilevel and noncontiguous TS in a 50-year-old woman. We found four noncontiguous osteolytic lesions in her spine that affected the Intervertebral joints of T10/11, L1/2, L3/4 and L5/S1. Patient was then treated conservatively with anti-TB drugs and was followed-up for about 1 year. The treatment turned out to be successful.


CONCLUSIONS
The conservative anti-TB treatment was enough at least for this particular patient.
Department of Orthopaedic Surgery, The 2nd Xiangya Hospital of Central South University 410011, Hunan, China.
Yi
Y
Shen
Department of Orthopaedic Surgery, The 2nd Xiangya Hospital of Central South University 410011, Hunan, China.
Weiye
W
Zhong
Department of Orthopaedic Surgery, The 2nd Xiangya Hospital of Central South University 410011, Hunan, China.
Dan
D
Peng
Department of Orthopaedic Surgery, The 2nd Xiangya Hospital of Central South University 410011, Hunan, China.
Chang
C
Lu
Department of Neurosurgery, The 2nd Xiangya Hospital of Central South University 410011, Hunan, China.
Guangzhong
G
Xiong
Department of Pathology, The 2nd Xiangya Hospital of Central South University 410011, Hunan, China.
Duo
D
Li
Department of Orthopaedic Surgery, The 2nd Xiangya Hospital of Central South University 410011, Hunan, China.
Youwen
Y
Deng
Department of Radiology, The 2nd Xiangya Hospital of Central South University 410011, Hunan, China.
Lihua
L
Tan
Pott’s disease; Tuberculous spondylitis (spinal tuberculosis); multilevel; noncontiguous