Summary
Tuberculous involvement of the posterior elements of the spine is uncommon. Review of the literature reveals little information and there is scant mention of this subject in standard textbooks of orthopaedics. A study of 27 cases of such lesions seen over 6 years is presented, drawn from two separate centres, 21 from Central India and 6 from South Eastern Iran. The clinical presentation, investigations and treatment are analysed.
A new four point classification is described based upon the site of the lesion, the stage of the lesion, associated lesions and neurological deficit.
Résumé
L'atteinte tuberculeuse des éléments postérieurs du rachis n'est pas fréquente. La revue de la littérature n'apporte que peu d'informations et les traités classiques d'orthopédie ne donnent sur ce sujet que des notions sommaires. On présente ici l'étude de 27 cas de tuberculose vertèbrale postérieure observés en 6 ans, issus de deux centres distincts, 21 du centre de l'Inde et 6 du Sud-est de l'Iran. Le tableau clinique, les examens complémentaires et le traitement sont analysés.
Les auteurs proposent une classification nouvelle en quatre points tenant compte de l'emplacement et du stade évolutif, de l'atteinte osseuse, des lésions associées et du déficit neurologique.
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Kumar, K. A clinical study and classification of posterior spinal tuberculosis. International Orthopaedics 9, 147–152 (1985). https://doi.org/10.1007/BF00268164
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DOI: https://doi.org/10.1007/BF00268164