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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(5):1015-1018.
Tuberculous Spondylitis Aggravated by Spinal Manipulative Therapy: A case report.
Lee, Sung Hun , Cho, Min Gyu , Jeon, Pyeong Sik
Department of Rehabilitation Medicine, Kwangju Christian Hospital.
척추도수치료에 의해 악화된 결핵성 척추염 ⁣증례 보고⁣
이성훈, 조민규, 전평식
광주기독병원 재활의학과

A 43 years old woman had suffered from a lower back pain for 2 months. She experienced pain aggravation after spinal manipulative therapy that was practiced by non-licentiate. Physical examination showed tenderness on L1 and L2 spinous processes. Radionuclide bone scan with 99mTc-MDP showed increased radioactivity of L1, L2 vertebral bodies. The MRI finding showed low signal intensity of L1 and L2 vertebral bodies in T1-weighted image and high signal intensity in T2-weighted image. Needle biopsy finding showed fibrosis and inflammatory cell invasion of bone marrow. We concluded that she had tuberculous spondylitis and non-detection or negligent treatment of a preexisting disease contributed to aggravation of her symptoms.

We report one case of tuberculous spondylitis aggravated by spinal manipulative therapy with review of literatures

Key Words: Spinal manipulative therapy, Tuberculous spondylitis


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