{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T18:01:50Z","timestamp":1764784910651},"reference-count":13,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nTuberculous (TB) osteomyelitis is a rare, but challenging infection, that mandates antituberculosis antibiotics, and potentially surgical intervention. Per the Gulhane Askeri Tip Akademisi (GATA) classification system, corrective reconstruction is indicated in severe cases, where the kyphotic deformity is >20\u00b0 (GATA Class III). Here, we describe a case of BCG vaccine-induced lumbar TB osteomyelitis at the L1-2 level in a patient presenting with mechanical pain and a focal, nonfixed kyphotic deformity of 36.1\u00b0. Surgery consisted of percutaneous fixation with pedicle screws without debridement, fusion arthrodesis, or anterior reconstruction.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 77-year-old male presented with L1-2 TB osteomyelitis secondary to intravesical BCG application. A 36.1\u00b0 focal nonfixed kyphotic deformity was evident on standing X-rays that reduced in the supine position. He underwent posterior percutaneous screw fixation with rods extending from the T12 to L3 levels, with resolution of his mechanical pain. Nine months later, the CT demonstrated reconstitution of the vertebral bodies (i.e., volume increase of 6.99 cm3<\/jats:sup> (21%) and 7.49 cm3<\/jats:sup> (27%) at L1 and L2, respectively). Standing X-rays after hardware removal demonstrated 32.7\u00b0 of lumbar lordosis and a reduction of focal kyphosis to 12.9\u00b0.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nHere, we present an exceedingly rare case of BCG vaccine-induced L1-2 spinal tuberculosis with extensive vertebral body destruction and deformity. This was effectively treated with standalone temporary pedicle fixation instead of corpectomy and reconstruction.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_457_2022","type":"journal-article","created":{"date-parts":[[2022,6,17]],"date-time":"2022-06-17T09:06:42Z","timestamp":1655456802000},"page":"256","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Temporary standalone percutaneous fixation with pedicle screws for the treatment of subacute tuberculous osteomyelitis with kyphotic deformity in the lumbar spine"],"prefix":"10.25259","volume":"13","author":[{"given":"Mokshal H.","family":"Porwal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danyon 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Dis"},{"key":"10.25259\/SNI_457_2022\/ref-12","first-page":"1005","article-title":"Treatment of senile spinal tuberculosis with posterior percutaneous pedicle screw fixation combined with local percutaneous endoscopic debridement","volume":"31","author":"Xu","year":"2018","journal-title":"Zhongguo Gu Shang"},{"key":"10.25259\/SNI_457_2022\/ref-13","doi-asserted-by":"crossref","first-page":"E1415","DOI":"10.1097\/BRS.0000000000001858","article-title":"Management of spine tuberculosis with chemotherapy and percutaneous pedicle screws in adjacent vertebrae: A retrospective study of 34 cases","volume":"41","author":"Yang","year":"2016","journal-title":"Spine (Phila Pa 1976)"}],"container-title":["Surgical Neurology 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