THE MANAGEMENTS İN TUBERCULOSIS OF THE SPINE
Journal Title: Journal of Turkish Spinal Surgery - Year 1993, Vol 4, Issue 1
Abstract
Treatment of Pott's disease has not been clarified until recently. İn our country, the incidence of tuberculous spondylitis is relatively high. Betvveen 1988 and 1994, in 21 tuberculous spondylitis we treated with bed rest and/or operative treatment with antituberculous drug therapy. 12 of the patients were female, 9 of them were male and average age being 50. The average follow up period was 29 months. Ali patients were evaluated according to la-boratory findings, antero-posterior and lateral roentgenograms and Magnetic Resonance Imaging. The levels of Pott's disease were determined from T7-L5. Incomplete paraplegia was recorded which ali cases are operated on. İn operative treatment we prefered anterior and posterior fusion after radical debridement. Antituberculous therapy as usually streptomycin, rifampicin and isoniazid (INAH) in Standard dosages is started 15 days at least before surgery. Bony fusion occured substantially earlier, and there was no increase in kyphosis. İn ali cases, paraplegia was recovered in the postoperative period. Novvadays, tuberculous of the spine is the significant disease which caused highly morbidity in developing countries. For this reason, it's treatment is very important.
Authors and Affiliations
E. SESLİ, H. ÖZYALÇIN, Z. ÖZCAN, R. AKDAL, C. TUĞRAN
Keywords
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