Cervical tuberculosis treated with closed system abscess evacuation, and percutaneous laser disc decompression combined with secretome derived from umbilical cord mesenchymal stem cells: A case report

Ahmad Jabir Rahyussalim, Muhammad Nadhil Sunaryo Putra, Mochammad Kamal Nasser, Bagus Wijaya Kusuma, Tri Kurniawati, Anissa Feby Canintika

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction and importance: Minimal invasive surgery is preferred as it offers the same benefit with less tissue damage, especially in the cervical area where a lot of critical structure resides. Mesenchymal stem cells (MSCs) and its secretome provide a promising regenerative intervention to damaged tissue. We report a cervical spinal tuberculosis case with hemiparesis treated with minimally invasive surgery combined with a regenerative approach. Case presentation: A 13-year-old boy presented with weakness in his left arm and left leg, accompanied by hemiparesthesia. The patient was unable to get up from bed, run, and jumpRadiology examination showed compression fracture, intervertebral disc retropulsion, spinal cord compression, and paravertebral cold abscess. The patient was treated with a single minimal invasive surgery consisting of closed system abscess evacuation, and percutaneous laser disc decompression combined with umbilical cord-derived mesenchymal stem cells. Clinical discussion: The pain, weakness, and numbness were gone two days after surgery. The patient could carry out normal activities, even doing sports such as mini soccer and badminton. This clinical improvement was obtained as he carried out some procedures. The cold abscess aspiration removed infection focus which prevents further vertebra destruction, PLDD which decompresses the retropulsed discs, and implantation of MSCs and secretomes which regenerate and strengthen the destructed bone and surrounding tissue. Conclusion: Closed system abscess evacuation, and percutaneous laser disc degeneration combined with secretome derived from UC-MSC are minimally-invasive strategies with promising results. Further studies are required to investigate its efficacy.

Original languageEnglish
Article number109764
JournalInternational Journal of Surgery Case Reports
Volume119
DOIs
Publication statusPublished - Jun 2024

Keywords

  • Hemiparesis
  • Paravertebral cold abscess
  • PLDD
  • Secretome
  • Tuberculosis spondylitis
  • Umbilical cord-derived MSCs (UC-MSCs)

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