title: High Grade Infective Spondylolisthesis of Cervical Spine Secondary to Tuberculosis.
abstract: Spondylolisthesis coexisting with tuberculosis is rarely reported. There is a controversy whether spondylolisthesis coexists or precedes tuberculosis. Few cases of pathological spondylolisthesis secondary to tuberculous spondylodiscitis have been reported in the lumbar and lumbosacral spine. All cases in the literature presented as anterolisthesis, except one which presented as posterolisthesis of lumbar spine. Spondylolisthesis in the cervical spine is mainly degenerative and traumatic. Spondylolisthesis due to tuberculosis is not reported in the lower cervical spine. The exact mechanism of such an occurrence of spondylolisthesis with tuberculosis is sparsely reported in the literature and inadequately understood. We report a rare case of high grade pathological posterolisthesis of the lower cervical spine due to tubercular spondylodiscitis in a 67-year-old woman managed surgically with a three-year follow-up period. This case highlights the varied and complex presentation of tuberculosis of the lower cervical spine and gives insight into its pathogenesis, diagnosis, and management.
authors.affiliation: Sancheti Institute for Orthopaedics and Rehabilitation, Pune, India.
authors.forename: Shailesh
authors.initials: S
authors.lastname: Hadgaonkar
authors.affiliation: Sancheti Institute for Orthopaedics and Rehabilitation, Pune, India.
authors.forename: Kunal
authors.initials: K
authors.lastname: Shah
authors.affiliation: Sancheti Institute for Orthopaedics and Rehabilitation, Pune, India.
authors.forename: Ashok
authors.initials: A
authors.lastname: Shyam
authors.affiliation: Sancheti Institute for Orthopaedics and Rehabilitation, Pune, India.
authors.forename: Parag
authors.initials: P
authors.lastname: Sancheti
mesh_terms: D000368:Aged; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D011859:Radiography; D013168:Spondylolisthesis / Q000000981:diagnostic imaging / Q000209:etiology; D014394:Tuberculosis, Osteoarticular / Q000150:complications / Q000175:diagnosis / Q000473:pathology
keywords: Spondylolisthesis; Subaxial spine; Tuberculosis