Intravertebral cleft in pathological vertebral fracture resulting from spinal tuberculosis: a case report and literature review

Among common findings in osteoporotic vertebral compression fractures (OVCFs), the intravertebral cleft (IVC) is usually considered a benign lesion. The current study was aimed to present a rare case of vertebral fracture caused by IVC-related spinal tuberculosis. A 73-year-old female complained of...

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Bibliographic Details
Published in:BMC musculoskeletal disorders 2020-09, Vol.21 (1), p.619-619, Article 619
Main Authors: Dong, Liang, Dong, Chunke, Zhu, Yuting, Wei, Hongyu
Format: Article
Language:English
Subjects:
Aged
Back pain
Biopsy
Cancer
Case Report
Case reports
Compression
Contraindications
Decompression
Female
Fractures
Fractures (Injuries)
Fractures, Compression
Fractures, Spontaneous
Health aspects
Hospitals
Humans
Infections
Intravertebral cleft
Limbs
Literature reviews
Medical imaging
Metastasis
Multiple myeloma
Musculoskeletal diseases
Osteoporosis
Osteoporotic Fractures
Pain
Pathogenesis
Patients
Povidone
Spinal cord
Spinal Fractures - complications
Spinal Fractures - diagnostic imaging
Spinal tuberculosis
Spine
Surgery
Surgical outcomes
Trauma
Treatment Outcome
Tuberculosis
Tuberculosis, Spinal - complications
Tuberculosis, Spinal - diagnostic imaging
Tuberculosis, Spinal - surgery
Vertebrae
Vertebral fracture
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Summary:Among common findings in osteoporotic vertebral compression fractures (OVCFs), the intravertebral cleft (IVC) is usually considered a benign lesion. The current study was aimed to present a rare case of vertebral fracture caused by IVC-related spinal tuberculosis. A 73-year-old female complained of back pain and weakness in lower limbs for 2 weeks. 3 months ago, after a minor trauma, she got back pain without weakness in lower limbs. Initially, she was diagnosed with a L1 compression fracture and accepted conservative treatment. After an asymptomatic period, she complained progressive pain at the fracture position with weakness of both lower limbs and was referred to our hospital with suspicion of Kümmell's disease. The patient underwent posterior debridement and internal fixation for decompression and stabilization of the spine. Pathological examinations revealed the patient with spinal tuberculosis. Although IVC is common in patients with OCVFs, there are some cases believed to be found in patients with spinal tuberculosis or infection. Further test, like CT-guided puncture biopsy, may be required before decisive treatment when an IVC is observed.
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-020-03642-2