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