Pott's disease surgery: Difference between revisions
Jump to navigation
Jump to search
| Line 16: | Line 16: | ||
===Surgical Options=== | ===Surgical Options=== | ||
*Surgical therapy for spinal tuberculosis is by decompression of the cord with debridement of the infected tissue via the anterior or anterolateral approach. | *Surgical therapy for [[Pott's disease|spinal tuberculosis]] is by [[decompression]] of the cord with [[debridement]] of the infected tissue via the anterior or anterolateral approach. | ||
*Anterior transposition of cord with shaving of the internal gibbus can be performed in patients with severe kyphotic deformities with compression of the cord. | *Anterior transposition of cord with shaving of the internal gibbus can be performed in patients with severe kyphotic deformities with compression of the cord. | ||
*Laminectomy for decompression is contraindicated in cases with anterior spinal tuberculosis, as it increases the unstability of the spine. | *[[Laminectomy]] for decompression is contraindicated in cases with anterior [[Pott's disease|spinal tuberculosis]], as it increases the unstability of the [[spine]]. | ||
==References== | ==References== | ||
Revision as of 17:25, 24 March 2017
|
Pott's disease Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Pott's disease surgery On the Web |
|
American Roentgen Ray Society Images of Pott's disease surgery |
|
Risk calculators and risk factors for Pott's disease surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery
Indications for Surgery
Patients with:
- Neurological deficits
- Potential mechanical instability
- Kyphosis leading to sagittal imbalance or severe kyphosis ≥60°
- Large thoracic spine abscess casing esophageal obstruction or cervical abscess causing difficulty in breathing
- Abscess increasing in size even after 3 to 6 months of standard medical therapy
- Worsening neurological function during the period of medical therapy
- Children ≤7 years of age, with three or more affected vertebral bodies
Surgical Options
- Surgical therapy for spinal tuberculosis is by decompression of the cord with debridement of the infected tissue via the anterior or anterolateral approach.
- Anterior transposition of cord with shaving of the internal gibbus can be performed in patients with severe kyphotic deformities with compression of the cord.
- Laminectomy for decompression is contraindicated in cases with anterior spinal tuberculosis, as it increases the unstability of the spine.