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(Chest. 1999;116:1471-1472.)
© 1999 American College of Chest Physicians

Video-Assisted Thoracic Surgery Diagnosis of Thoracic Spinal Tuberculosis*

Michael Dusmet, MD; Nermin Halkic, MD and Jean Marc Corpataux, MD

* From the Department of Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.

Correspondence to: Michael Dusmet, MD, Department of Surgery, CHUV, 1011 Lausanne, Switzerland; e-mail: Michael.Dusmet{at}chuv.hospvd.ch

Tuberculous spondylitis is rare in economically well-developed countries. MRI is the most sensitive radiologic method of diagnosis. CT-guided fine needle aspiration can be an appropriate method for obtaining samples for culture, with positive cultures in 25 to 89% of cases. However, it can take >6 weeks for specimens to grow, and it is essential to have adequate culture and sensitivity studies for the diagnosis and treatment of mycobacterial diseases. We propose a minimally invasive diagnostic approach that ensures that adequate surgical specimens are obtained prior to initiating treatment.

Key Words: spondylitis • tuberculosis • video-assisted thoracic surgery






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