Non-Traumatic Spinal Cord Injury – Tuberculous Spondylitis: A Case Report

Bona Pardede, Dewi Poerwandari

2017

Abstract

Tuberculous spondylitis or Pott’s kyphosis is caused by Mycobacterium tuberculosis infection of the spine. Spinal cord injury as complications of Tuberculous spondylitis is defined as non-traumatic SCI. It is an important factor in SCI rehabilitation programs for rehabilitationto be early. This case study considered a diagnosisofThoracal-9 Paraplegia AIS C of Tuberculous Spondylitis on Thoracic Vertebrae 10-11. A 32-year-old male was diagnosed with tuberculous spondylitis on thoracic vertebrae 10-11. The AIS (American Spinal Injury Association/ASIA Impairment Scale) was Thoracal-9 Paraplegia AIS C. Presenting symptoms were spinal pain, local tenderness, night sweats, lower extremity weakness-numbness and kyphotic deformity, also confirmed with MRI (Magnetic Resonance Imaging). The patient hadanti-tuberculous treatment and surgery (debridement and posterior stabilization of spine). Problems after surgery were pain, weakness-numbness on lower extremities and poor cardiorespiratory function. The rehabilitation goals were to improve functional ability (ambulation), reduce pain and avoid complications after spinal cord injury. Rehabilitation management was provided before and after surgery. Before surgery rehabilitation consisted of TLSO (Thoraco-Lumbal-Sacral Orthosis), range of motion exercise, resensitization sensoric and active breathing exercises. After surgery rehabilitation included spinal orthosis (TLSO/Thoraco-Lumbal-Sacral Orthosis), early mobilization with a walker until independent ambulation, range of motion exercises, lower extremity strengthening with exercises and electrical stimulation, resensitization of the numb area, balance training, gait training, aerobic exercise and breathing exercises.

Paper Citation

in Harvard Style

Pardede B. and Poerwandari D. (2017). Non-Traumatic Spinal Cord Injury – Tuberculous Spondylitis: A Case Report.In Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM, ISBN 978-989-758-334-6, pages 39-42. DOI: 10.5220/0007315200390042

in Bibtex Style

@conference{imrm17,
author={Bona Pardede and Dewi Poerwandari},
title={Non-Traumatic Spinal Cord Injury – Tuberculous Spondylitis: A Case Report},
booktitle={Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM,},
year={2017},
pages={39-42},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007315200390042},
isbn={978-989-758-334-6},
}

in EndNote Style

TY - CONF

JO - Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM,
TI - Non-Traumatic Spinal Cord Injury – Tuberculous Spondylitis: A Case Report
SN - 978-989-758-334-6
AU - Pardede B.
AU - Poerwandari D.
PY - 2017
SP - 39
EP - 42
DO - 10.5220/0007315200390042