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2016, Volume 7, Number 3, Page(s) 163-166
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Infections of the Craniovertebral Junction
Mohsin Qadeer1, Salman Sharif2
1Consultant Neuro & Spinal Surgeon, Jinnah Medical &Dental College, Karachi, Pakistan
2Head of Neurosurgery, Liaquat National Hospital & Medical College, Karachi, Pakistan
Keywords: Abscess, cranio-vertebral junction, CVJ, CVJ TB, infection, upper cervical spine
Infections of the craniovertebral junction (CVJ) are rare, as compared to other sites of spinal column, in both tuberculous and non-tuberculous pathologies. Non-tuberculous abscess is unique and the incidence of CVJ tuberculosis ranges from 0.3 to 3% (7) of spinal TB infections. The scarcity of the infection is postulated to be secondary to the very good vascularity of the area and decreased epidural space in the region. The incidence is increasing secondary to the number of immunocompromised hosts, as seen with AIDS, transplant, drug abuse, CKD and DM, and improvements in the diagnostic tests that are available. However tuberculous osteomyelitis is more frequently seen in endemic areas.
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