TY -的A2 -娃,约翰内斯盟,Sakamoto Takuya AU -高桥,藤原浩盟——斋藤盟——Matsuzawa淳弥,日本AU -青木,武田盟——只是,称Arata盟——Sonobe Masato盟——Akatsu Yorikazu盟,山田Manabu AU -秋山,徐怀钰AU -自制,Tatsunori AU -平贺柳泽,凯塔盟,志贺Yasuhiro盟——Inage Kazuhide盟——Orita江口Sumihisa AU - Eguchi, Yawara AU - Maki, AU -古屋Satoshi AU - Furuya, AU - Akazawa, Tsutomu AU - Koda, AU - yama aki, Masashi AU - Ohtori, Seiji AU - Nakagawa，Koichi PY - 2020 DA - 2020/08/26 TI -外科治疗脊柱结核没有海拔炎症生物标记物在初始访问模拟脊柱转移SP - 8873170六世- 2020 AB -在这里,我们报告一个例脊柱结核没有海拔c反应蛋白(CRP)在初始访问模拟脊柱转移。一位70岁女性，无外伤史，因进行性截瘫而来我院就诊。T6-7处脊髓受到严重压迫，脊柱发生溶骨性破坏，CRP未升高。行T4-9后路减压融合术。虽然病理显示没有恶性肿瘤细胞，但正电子发射断层扫描-计算机断层扫描(PET-CT)显示甲状腺上调，吸入性细胞学显示甲状腺癌。因此，我们诊断她为甲状腺癌脊柱转移瘤。选择保守治疗是希望神经系统有显著恢复;然而，在原发性手术后9个月，她以复发性截瘫返回我院。 In addition to progression of osteolytic changes to the T5-7 vertebrae, a coin lesion on the right side of the lung and elevation of CRP were observed. Finally, we diagnosed her with spinal tuberculosis based on the results of a CT-guided needle culture. Two-stage surgeries (posterior and anterior) were performed in addition to administering antituberculosis medications. At the 1-year postoperative follow-up evaluation, both neurologic function and laboratory data were improved with T5-9 complete fusion. It is difficult to determine based on imaging findings alone whether osteolytic vertebrae represent spinal metastases or tuberculosis. Even though inflammatory biomarkers, such as CRP, were not elevated, we should consider the possibility of not only spinal metastases but also tuberculosis when planning surgery involving osteolytic vertebrae. In addition, the combination of neurological, imaging, and pathological findings is important for the diagnosis of spinal tuberculosis. SN - 2090-6749 UR - https://doi.org/10.1155/2020/8873170 DO - 10.1155/2020/8873170 JF - Case Reports in Orthopedics PB - Hindawi KW - ER -