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World Journal of Surgery

, Volume 21, Issue 5, pp 524–528 | Cite as

Prevention of Postoperative Late Kyphosis in Pott’s Disease by Anterior Decompression and Intervertebral Grafting

  • Feza Korkusuz
  • Cihangir İslam
  • Zeki Korkusuz

Abstract. A total of 185 patients with Pott’s disease were operated on between 1973 and 1992. Anterior decompression by preserving the pleura (extrapleural approach) was the preferred method in the thoracic spine. In the lumbar spine the approach was retroperitoneal, and interbody fusion was performed in both for the thoracic and the lumbar regions. Anterior decompression and intervertebral grafting comprised the treatment. In five patients, internal fixation accompanied anterior decompression and intervertebral grafting. The aim of instrumentation was to enhance anterior spinal stability, and Alıcı spinal instrumentation was the preferred device. Graft destruction and a late increase in kyphosis was prevented by this means. The mean follow-up period was 7.5 years. Thirty-two of the cases were admitted to the clinic because of Pott’s paraplegia: 19 of the cases recovered completely following anterior decompression; partial recovery was observed in 5 cases; but 8 cases did not recover. Various complications, including seven deaths, were observed in 42 of the cases.

Keywords

Lumbar Spine Internal Fixation Prefer Method Paraplegia Thoracic Spine 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Société Internationale de Chirugie 1997

Authors and Affiliations

  • Feza Korkusuz
    • 1
  • Cihangir İslam
    • 2
  • Zeki Korkusuz
    • 3
  1. 1.Medical Center, Middle East Technical University, İnönü Bulvarı, 06531 Ankara, TurkeyTR
  2. 2.Department of Orthopedic Surgery and Traumatology, Van 100, Yıl University Medical School, Van, TurkeyTR
  3. 3.Department of Orthopedic Surgery and Traumatology, Ankara University Medical School, İbn-i Sina Hospital, Ankara, TurkeyTR

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