POTT'S DİSEASE
Journal Title: Journal of Turkish Spinal Surgery - Year 1997, Vol 8, Issue 4
Abstract
24 patienîs were treated at the Wolfgang Goethe University Offenbach City Hospital between 1992 and 1996 for tubercuiosis of the spine. A high index of suspicion is required for Pott's disease, which occurs in fewer than 1 percent of patienîs with tubercuiosis, often presents with non specific symptoms, and may results in permanent deformityjor neurologic impairment. Ati patienîs had tripie chemotherapy with or without decompression surgery. 6 patients including 4 children, were treated conservaiiveiy, 18 patienîs were treated surgically. 17 patient had anterior radical decompression surgery, and for 7 of them, anterior surgery was proceded by posterior İnstrumentai stabilization surgery. One patient with healed disease had posterior decompressive corpectomy. 10 patients had İesions between T3-T10, where the spinal canal is narrow, of whom had neurologic involvement. Ali ten undement anterior approach (thoracoiomy) for decompression, debridement and spinai fusion. 14 patients had İesions between T11-S1. 4 patients had neurologic involvement but responded to medical treatment alone. Combined surgical and medicat treatment gave excellent results İn this series.
Authors and Affiliations
O. TARHAN, C. ARKAN, Ü. TOLUN, L. BULUÇ
Keywords
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