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Surgical Treatment of Spinal Tuberculosis Complicated with Extensive Abscess

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Tuberculosis of the Central Nervous System

Abstract

Tuberculosis (TB) of the spine (Pott’s spine) can involve the spine from the craniovertebral junction to the sacrum. Pott’s spine can lead to acute or immediate problems like pain, restriction of movements, compression of the surrounding structures due to the extensive abscess formation and/or delayed sequel leading to deformity, neurological compromise and instability of varying degrees. Effective medical treatment occasionally fails to control the extensive abscess formation, and surgical intervention is needed not only to deal with the abscess but also to avoid or correct the development of spinal deformity and to prevent compressive myelopathy as well as spinal instability. The present chapter will cover the surgical management of spinal TB complicated with an extensive TB abscess and also discuss the treatment of its sequel.

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Abbreviations

AAD:

Atlantoaxial dissociation

CT:

Computed tomography

CVJ-TB:

Craniovertebral junction tuberculosis

EMB:

Ethambutol

INH:

Isoniazid

MRI:

Magnetic resonance imaging

PZA:

Pyrazinamide

RIF:

Rifampicin

TB:

Tuberculosis

USG:

Ultrasonography

WHO:

World Health Organization

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Authors and Affiliations

  1. Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, Uttar Pradesh, India

    Arun K. Srivastava MCh, Jayesh Sardhara MCh, Chaitanya Godbole MS & Sanjay Behari

Authors
  1. Arun K. Srivastava MCh
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  2. Jayesh Sardhara MCh
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  3. Chaitanya Godbole MS
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  4. Sanjay Behari
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Corresponding author

Correspondence to Sanjay Behari .

Editor information

Editors and Affiliations

  1. Adnan Menderes University, School of Medicine, Aydın, Turkey

    Mehmet Turgut

  2. Mohammed V University in Rabat, Avicenne Military Hospital of Marrakech, Rabat, Morocco

    Ali Akhaddar

  3. Hacettepe University, School of Medicine, Ankara, Turkey

    Ahmet T. Turgut

  4. King George Medical University, Lucknow, Uttar Pradesh, India

    Ravindra K. Garg

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Srivastava, A.K., Sardhara, J., Godbole, C., Behari, S. (2017). Surgical Treatment of Spinal Tuberculosis Complicated with Extensive Abscess. In: Turgut, M., Akhaddar, A., Turgut, A., Garg, R. (eds) Tuberculosis of the Central Nervous System. Springer, Cham. https://doi.org/10.1007/978-3-319-50712-5_31

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  • DOI: https://doi.org/10.1007/978-3-319-50712-5_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-50711-8

  • Online ISBN: 978-3-319-50712-5

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