TUBERCULOSIS SPONDYLITIS
Journal Title: Journal of Turkish Spinal Surgery - Year 2003, Vol 14, Issue 3
Abstract
The most frequent site for extra pulmonary involvement of tuberculosis infection is the vertebral column. Percival Pott described tuberculosis of the vertebral column in 1877 as a kyphotic deformity of the spine associated with paraplegia(36). Menard in 1894 described a series of patients with Pott’s paraplegia successfully treated with decompression via costatransversectomy(26, 36). Pott’s disease is now infrequent in developed countries, but still constitutes a public health problem in underdeveloped countries.(2, 5-6, 9, 18, 43) Prior to the era of antibiotics and improvements in general health, multisegmental involvement was thought to be the norm, usually diagnosed at the autopsies, but today involvement of more than one noncontiquous region of the spine is very rare(36). The true incidence of primary posterior involvement is virtually unknown; however, the introduction of computerized tomography (CT) and magnetic extensive disease (3, 37). Chemotherapy appears to be the mainstay in the treatment of tuberculosis. Only by the introduction of effective chemotherapy regimens could the mortality associated with the disease be controlled, and morbidity has been substantially decreased. Surgery in tuberculosis spondylitis is generally considered to be an adjuvant of effective chemotherapy.
Authors and Affiliations
Teoman BENL
Keywords
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