Atypical, multilevel and noncontiguous tuberculous spondylitis that affected the vertebrae of thoracic, lumbar and sacrum: a case report.

Aim: Tuberculous spondylitis (TS, also called Spinal tuberculosis, Pott’s spine or Pott’s disease) is a common extrapulmonary manifestation of tuberculosis (TB), but multilevel, noncontiguous TS cases are rare. Methods: Physical examination, CT, MRI imaging, percutaneous biopsy and other lab tests were used to confirm the diagnosis. Result: we report a rare case of atypical, multilevel and noncontiguous TS in a 50-year-old woman. We found four noncontiguous osteolytic lesions in her spine that affected the Intervertebral joints of T10/11, L1/2, L3/4 and L5/S1. Patient was then treated conservatively with anti-TB drugs and was followed-up for about 1 year. The treatment turned out to be successful. Conclusion: The conservative anti-TB treatment was enough at least for this particular patient.