“Atypical, Multilevel, and Noncontiguous Tuberculous Spondylitis Affecting the Cervical, Thoracic, Lumbar, and Sacral Vertebrae, Clivus, and Manubrium Sterni in a Pulmonary Tuberculosis Patient”

Tubercular spondylitis is a common extrapulmonary manifestation of tuberculosis. It accounts for 50% skeletal tuberculosis.[1] In most cases, associated symptoms are not so unique as to immediately indicate the proper diagnosis. Differentiating spinal tuberculosis from pyogenic osteomyelitis often very difficult, and metastatic lesion systemic malignancy other major entity which must be differentiated. Noncontiguous multilevel involvement tubercular relatively rare, reported cases had only at two levels.[2] [3] [4] [5] Very few with extreme bony have been in published literature.