Video-assisted thoracic surgery diagnosis of thoracic spinal tuberculosis

Tuberculous spondylitis is rare in economically well-developed countries. M RI is the most sensitive radiologic method of diagnosis. CT-guided fine nee dle aspiration can be an appropriate method for obtaining samples for cultu re, with positive cultures in 25 to 89% of cases. However, it can take >6 w eeks for specimens to grow, and it is essential to have adequate culture an d sensitivity studies for the diagnosis and treatment of mycobacterial dise ases. We propose a minimally invasive diagnostic approach that ensures that adequate surgical specimens are obtained prior to initiating treatment.