Tuberculosis of Thoracic Spine
Published by Dr. Mayur Kardile — Pune Spine Institute
Case Overview
A 51-year-old gentleman presented with back pain that worsened over 3 months, accompanied by significant weight loss — classic constitutional symptoms of tuberculosis.
MRI revealed destruction of T9 and T10 vertebrae with pus and granulation tissue compressing the spinal cord. CT scan showed gross bony destruction of T9 and T10 vertebrae — the infection had severely compromised the structural integrity of the thoracic spine.
He was operated with T9 and T10 corpectomy (removal of the destroyed vertebrae) and reconstruction with instrumented fusion from T6 to L1, performed through an all-posterior approach. This approach allows complete removal of the infected tissue and spinal cord decompression while providing strong internal fixation.
Following surgery, he received anti-tuberculosis medicines for 9 months. He was able to return to his normal life within 3 months of the surgery.
Key Case Highlights
- 151-year-old with back pain worsening over 3 months + weight loss
- 2MRI: T9-T10 destruction with pus compressing spinal cord
- 3CT: gross bony destruction at T9-T10
- 4T9-T10 corpectomy + instrumented fusion T6-L1 (all-posterior approach)
- 5Anti-tuberculosis medicines for 9 months post-surgery
- 6Back to normal life within 3 months
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Dr. Mayur Kardile
MS Orth | DNB | MCh (Toronto) | FRCSC
Fellowship-trained spine surgeon from Toronto. Trained in North America with expertise in complex deformity correction, minimally invasive surgery, and revision spine procedures.
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