XXXX of the lumbar spine after percutaneous @entity3574 (vertebroplasty or kyphoplasty).

@entity1 @entity697 @entity3574 @entity3083 @entity1511 @entity378
BACKGROUND CONTEXT: @entity3083 occurring after percutaneous @entity3574 has rarely been described. To date, only two such cases have been documented in the literature. @entity3574 may reactivate a quiescent tuberculous lesion and promote the infective process in elderly @entity1 with or without immunosuppression, thereby resulting in poor outcomes. PURPOSE: The purposes of this study were to present two cases in which spinal @entity378 occurred after vertebroplasty or kyphoplasty, to highlight the clinical features and need for early diagnosis of this pathology, and to postulate probable reasons for this association. STUDY DESIGN: This study is based on a clinical case series and literature review. METHODS: In this report, we review the clinical histories of two old @entity1 undergoing @entity3574 with subsequent spinal @entity378 . RESULTS: The first @entity1 responded favorably to conservative treatment with multidrug antitubercular therapy and spinal braces. The second @entity1 underwent surgical debridement through a posterior approach alone, without instrumentation, combined with adjuvant chemotherapy. By 1 year after treatment, both @entity1 had experienced almost complete recovery and continued to be seen for follow-up visits. CONCLUSIONS: Suspicion should be high, and magnetic resonance imaging is warranted in cases with deteriorating clinical symptoms and signs of @entity697 after @entity3574 . We propose obtaining exhaustive microbiologic and histologic evidence via needle biopsy or open surgery in a timely fashion to establish an accurate diagnosis because @entity1511 occurring in such a situation may progress rapidly.
