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CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma 2020; 17(02): 146-148
DOI: 10.1055/s-0040-1713077
Case Report

Cervicothoracic Fixation by Domino Connector in Cervicothoracic Junction Tuberculosis–A Case Report

Md. Rezaul Amin
1   Department of Spinal Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
,
Moududul Haque
2   Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
,
Haradhan Dev Nath
2   Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
,
ABM Manwar Hossain
3   Department of Neurosurgery, National Institute of Neurosciences, Dhaka, Bangladesh
,
Mohammad Shahnawaz Bari
3   Department of Neurosurgery, National Institute of Neurosciences, Dhaka, Bangladesh
› Author Affiliations Funding None.
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Abstract

Cervicothoracic junction tuberculosis involves the C7 to D3 levels of the spine which constitutes 5% of all spinal tuberculosis. As the cervicothoracic junction is transitional zone and a weight-bearing area, the anatomical considerations for treatment of cervicothoracic junction is very difficult. We did a lateral mass screw for C5, 6, and 7 and pedicle screw of D3 and 4 levels, and connected cervical 3.5 mm rod with thoracic 5.5 mm rod using a domino connector. We gave antituberculosis therapy for 18 months. We followed-up the patient routinely and she significantly improved.

Keywords

cervicothoracic - dorsal - medical research council - magnetic resonance imaging - tuberculosis


Publication History

Article published online:
20 August 2020

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