Orthopaedic Surgery and Traumatology Case Report Tuberculosis of Sacral Spine: A Case Report

Pramod Devkota, Shiraz Ahmad, Ketan Pande, Dipo Olabumuyi, Pramod Devkota
2018 Orthopaedic Surgery and Traumatology   unpublished
Tuberculosis (TB) is one of the common public health problems in the developing world. Spinal tuberculosis accounts for 50% of all musculoskeletal tuberculosis and 95% of spinal TB presented on dorsolumbar junction. The tuberculosis of sacral spine is rare. We present a case of sacral spine tuberculosis which was presented with low back pain and swelling on the gluteal region. Computerized tomography (CT) of the sacral spine and histopathology confirmed the TB and treated with anti-tuberculosis
more » ... h anti-tuberculosis drugs for 18 months. Citation: Pramod Devkota., et al. "Tuberculosis of Sacral Spine: A Case Report". The incidence of vertebral tuberculosis (TB) accounts for to all TB cases varied from 1% to 5% [1]. TB is one of the common musculo-skeletal problems in the developing world, also increasing in the developed world. Spine is one of the common places for the TB incidence and about 95% incidence at dorsolumbar junction [2]. The incidence of sacral spine TB is extremely rare and only reported as cases in the literatures. [3-5]. We a case of sacral spine TB, which was managed successfully with anti-tuberculosis treatment (ATT) A 54 years old female was referred to Orthopaedic clinic for low back pain which she was having for the past three months. She gave no history of trauma, injury and a having Diabetes mellitus (DM), hypertension (HTN) medicine. Her physical examination was unremark-able and routine bloods, x-ray of pelvic, lumbosacral (LS) spine were done. X-rays were unremarkable and bloods showed slightly raised erythrocyte sedimentation rate (ESR), C-reactive protein (CRP). She was advised for physiotherapy and some analgesics prescribed. After one moth she was reviewed. Back pain was still present and she was having some swelling on right gluteal region. Ultrasound was done and suggestive of blood collection formation. Aspiration of the swelling done which showed the frank pus and computerized tomography (CT) of the pelvic done which showed suggestive of sacral vertebral osteomyelitis (Figure 1). CT guided biopsy done and