Summary
Between 1973 and 1988, 108 patients with a preoperative diagnosis of spinal tuberculosis were treated by anterior extirpation and interbody fusion at Ankara University Medical Faculty, Orthopedic Surgery and Traumatology Department. In 96 cases the operations were performed intrapleurally, as Hogston described. For 12 patients who had spinal involvement at lower thoracic and upper lumbar segments an extrapleural and extraperitoneal approach was used. The extrapleural approach is strongly recommended for patients who have compromised pulmonary reserve. When this approach is used adequate exposure can be obtained and postoperative rehabilitation of patients is facilitated. Advantages and disadvantages of the extrapleural approach and the results obtained from 108 patients are presented.
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References
Bailey HL, Sister Cabriel M, Hogston AR, Shin TS (1972) Tuberculosis of spine in children. Operative findings and results in one hundred consecutive patients treated by removal of lesion and anterior grafting. J Bone Joint Surg [Am] 54:1663–1657
Bakalim G (1960) Tuberculous spondilitis. A clinical study with special reference to the significance of spinal fusion and chemotherapy. Acta Orthop Scand [Suppl] 47
Bosworth DM, Pietra AD, Rahilly G (1953) Paraplegia resulting from tuberculosis of the spine. J Bone Joint Surg [Am] 35:735–740
Bordie W (1976) Tuberculosis of spine — conservative or operative treatment. J Bone Joint Surg [Br] 58:378
Bulla A (1977) Tuberculose: combien de malades chronique. O.M.S. 31:303–310
Crenshaw (ed) (1980) Campell's operative orthopaedics, vol 4, 7th edn. Mosby, St. Louis
Debeaumont A (1966) Bacteriologie de la tuberculose osteoarticularie sous chimiotherapie. Adv Tuberc Res 15:125
Debeyre JP (1976) Notre experience de traitment de mal de Pott. Proc Fourth Meditteranean and Middle Eastern Orthopaedics Surgery and Traumatology Congress. 99:163–168, Madrid
Domisse GF (1979) The blood supply of the spinal cord. A critical vascular zone in spinal surgery. J Bone Joint Surg [Br] 56:225–235
Edvard JP (1958) Les paraplegies du mal de Pott et leur traitment chirurgical. These, R Foulan, Paris
Graceau GJ, Brady TA (1960) Pott's paraplegia. J Bone Joint Surg [Am] 32:87–96
Griffits DL, Seddon HJ, Roaf R (1956) Pott's paraplegia. Oxford University Press, London
Hogston AR, Stock FE, Forg HSY, Ong GB (1960) Anterior spinal fusion: the operative approach and pathological findings in 412 patients with Pott's disease of the spine. Br J Surg 48:172–178
Hogston AR, Yau A, Kwan JS, Kim D (1965) A clinical study of 100 consecutive cases of Pott's paraplegia. Clin Orthop 36:128–150
Ito H, Tsuchiya J, Azami G (1934) New radical operation of Pott's disease. J Bone Joint Surg 16:499
Kemp HBS, Jackson JW, Jeremiah JD, Cook J (1973) Anterior fusion of the spine for infective lesions in adults. J Bone Joint Surg [Br] 55:715–734
Korkusuz Z, Binnet MS, Gunel U (1987) Anterior approaches in spinal pathologies (in Turkish). Ninth Turkish Orthopaedics and Traumatology Meeting, Abstract Book. Emel Press, Ankara, pp 273–275
Korkusuz Z, Sumer H (1975) Mal de Pott and abscess (in Turkish). Turk Orthop Trauma J 1–2:34–41
Medical Research Council Working Party on Tuberculosis of Spine (1974) A controlled trial of anterior spinal fusion and débridement in the surgical management of tuberculosis of spine in patients standard chemotherapy. A study in Hong Kong. J Bone Joint Surg [Br] 61:853–866
Medical Research Council Working Party on Tuberculosis of the Spine (1976) J Bone Joint Surg [Br] 58:399–411
Medical Research Council Working Party on Tuberculosis of Spine (1978) Tubercle 59:79
Pans BP (1964) Treatment for the tuberculosis of the spine. Acta Orthop Scand [Suppl] 72
Rakitanskaya AF (1979) A procedure for diaphragm mobilization in the presence of the extraperitoneal extrapleural access to the thoracolumbar region of the vertebral column in patients with disseminated form of tuberculosis (in Russian). Probl Tuberk 3:39–43
Seddon HJ (1935) Pott's paraplegia: prognosis and treatment. Br J Surg 22:769
Seddon HJ (1956) Pott's paraplegia. Butterworth's, London, pp 220–245
Tuli M (1975) Results of treatment of spinal tuberculosis by “middle-path” regime. J Bone Joint Surg [Br] 57:13–23
Meula T, Fowles JV, Sliman N (1981) Pott's paraplegia. Int Orthop 5:23–29
Wilkinson MC (1950) Curettage of tuberculous vertebral disease in the treatment of spinal caries. Proc R Soc Med 43:114–115
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Korkusuz, Z., Binnet, M.S. & Isiklar, Z.U. Pott's disease and extrapleural anterior decompression. Arch Orthop Trauma Surg 108, 349–352 (1989). https://doi.org/10.1007/BF00932444
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DOI: https://doi.org/10.1007/BF00932444