Spinal tuberculosis: A retrospective chart review

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dc.contributor.authorSezgi C.
dc.contributor.authorTaylan M.
dc.contributor.authorKaya H.
dc.contributor.authorSen H.S.
dc.contributor.authorAbakay O.
dc.contributor.authorBulut M.
dc.contributor.authorAbakay A.
dc.date.accessioned2024-04-24T18:46:12Z
dc.date.available2024-04-24T18:46:12Z
dc.date.issued2014
dc.departmentDicle Üniversitesien_US
dc.description.abstractAims: Background and objectives: This study aimed to investigate the clinical characteristics, diagnostic methods, and therapeutic outcomes in patients with spinal tuberculosis (TB) in Southeastern Turkey Methods: Patients diagnosed with spinal TB at Dicle University Hospital, Diyarbakir, Turkey, between October 2005 to December 2010 were enrolled in the study retrospectively. Patients were evaluated for the following: Clinical presentation, underlying diseases, laboratory results, imaging findings, medical therapies, and treatment outcomes Results: A total of 23 patients including 14 men and 9 women with spinal TB, also known as Pott's disease, were enrolled. The study subjects' ages ranged from 17 to 69 years with a mean age of 38.4 years. Patients most often presented with back pain (69.5%, n=16) and fever (56.5%, n=13), and the most frequent physical finding was spinal tenderness (91.3%). Only 17.4% of the patients demonstrated neurological deficits and no paraplegia was observed. The time interval between onset of symptoms and treatment initiation was 3.2 months. Of all the patients, 47.8% exhibited Pott's disease in the thoracolumbar region while 34.8% only had thoracic involvement. On average, 2.5 vertebrae were diseased in this cohort. Furthermore, 82.6% of the patients had paraspinal and psoas abscesses. All patients were treated with anti-TB therapy. However, 26.1% required additional surgery, and one patient with miliary TB died. The mean treatment course lasted for 12.3 months. Conclusions: It may be possible to refine methods of spinal TB detection and diagnosis by studying thoracolumbar pathology in young adults with Pott's disease in endemic countries such as Turkey. By studying the clinical progression of this disease, the delay between symptom onset and diagnosis may be decreased so that complications such as paraplegia and surgical interventions are avoided.en_US
dc.identifier.endpage730en_US
dc.identifier.issn0393-6384
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-84902986384
dc.identifier.scopusqualityN/A
dc.identifier.startpage725en_US
dc.identifier.urihttps://hdl.handle.net/11468/25103
dc.identifier.volume30en_US
dc.indekslendigikaynakScopus
dc.language.isoenen_US
dc.publisherActa Medica Mediterraneaen_US
dc.relation.ispartofActa Medica Mediterranea
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectClinical Characteristicsen_US
dc.subjectDelay Timeen_US
dc.subjectDiagnostic Methodsen_US
dc.subjectSpinal Tuberculosisen_US
dc.titleSpinal tuberculosis: A retrospective chart reviewen_US
dc.titleSpinal tuberculosis: A retrospective chart review
dc.typeArticleen_US

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