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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Back Pain, Scan Showed Vertebrate Out Of Place. Possible Reason. How To Correct It?

My younger (13 year old, Diabetic) brother had a CAT scan earlier today due to sever back pain and non-movement ability. He was first struck with what thought was the flu which he had fevers, and flu like symptoms. So he had a MRI and a CAT scan which said he had two vertebrae out of place in his neck . We brought him to a surgeon who said he ll need to use a needle and extract fluid to see if it is an infection or some other type of growth which placed his vertebrae out of place. I ve been doing research all day and found rare cases of Vertebral osteomyelitis. What is the most possible/ best outcome or reason for his vertebrae out of place? I m at college worrying trying to help. Any answers would be so thankful.
Mon, 24 Dec 2012
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General & Family Physician,  's  Response
Hi there,
Thank you for writing to us.
I am sorry to learn about your brother.
The most common cause of having vertebrae out of place in any person would be a trauma or injury to the vertebral column.
Other causes include vertebral osteomyelitis and tuberculous disease of the spine also called as caries spine or Pott's disease.
Therefore, it is important to have a CSF examination done (fluid taken out from the spine for examination) to rule out these infections.
This, certainly, does seem to be a rare disease and I agree with you on that.
He will require longterm antibiotics if the diagnosis is an infection.
He will also possibly require surgery.
Outcomes with surgery are variable, meaning we cannot say for sure if he will be able to get full strength back or not or will be able to walk around normally or not.
Therefore at this point I would recommend that you should follow the recommendations of the doctor and hope for the best.
I wish you all the best for him.
Kindest Reagrds
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Severe Back Pain, Scan Showed Vertebrate Out Of Place. Possible Reason. How To Correct It?

Hi there, Thank you for writing to us. I am sorry to learn about your brother. The most common cause of having vertebrae out of place in any person would be a trauma or injury to the vertebral column. Other causes include vertebral osteomyelitis and tuberculous disease of the spine also called as caries spine or Pott s disease. Therefore, it is important to have a CSF examination done (fluid taken out from the spine for examination) to rule out these infections. This, certainly, does seem to be a rare disease and I agree with you on that. He will require longterm antibiotics if the diagnosis is an infection. He will also possibly require surgery. Outcomes with surgery are variable, meaning we cannot say for sure if he will be able to get full strength back or not or will be able to walk around normally or not. Therefore at this point I would recommend that you should follow the recommendations of the doctor and hope for the best. I wish you all the best for him. Kindest Reagrds