Spleen rupture occurred in a 54 year old woman who underwent anterior thoracotomy and posterior instrumented fusion for T11-12 tuberculosis spondylitis. The spleen was also involved with necrotizing granulamatous inflammation. Splenectomy was performed for hemodynamic instability due to spleen rupture. Splenic rupture should be considered as part of the differential diagnosis for patients with hemodynamic instability after spinal surgeries.
Keywords: Spleen, tuberculosis, anterior thoracotomy, spine