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The Journal of Bone and Joint Surgery (American) 84:1022-1024 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.


Case Report

Tuberculous Meningitis Following Correction of Kyphosis by Spinal Osteotomy

A Case Report

Luis Alvarez, MD and Emilio Calvo, MD

Investigation performed at Fundación Jiménez Díaz, Madrid, Spain

Luis Alvarez, MD
Emilio Calvo, MD
Department of Orthopedics, Fundación Jiménez Díaz, Avda. Reyes Católicos, 2, 28040 Madrid, Spain. E-mail for L. Alvarez: lalvarez@fjd.es.
Please address reprint requests to Dr. Alvarez.

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


    Introduction
 
Tuberculous spondylitis (Pott disease) involves at least two adjacent vertebrae with destruction of the intervening intervertebral disc. In one report, tuberculous meningitis occurred in conjunction with four (6%) of seventy cases of Pott disease 1 . We present an unusual case of tuberculous meningitis that occurred after a spinal osteotomy with anterior and posterior lumbar arthrodesis in a patient with a residual kyphosis related to Pott disease, which had been treated twenty-five years previously.


    Case Report
 
A forty-six-year-old woman was seen because of a lumbar kyphosis. She was unable to stand or walk because of the deformity. The patient reported a history of tuberculosis of the lumbar spine, which had been treated twenty-five years previously with a posterior spinal arthrodesis from the first lumbar vertebra to the first sacral vertebra and administration of antituberculous medication; no radiographs or medical records from that time were available. After eighteen months of treatment with medication, the . . . [Full Text of this Article]


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