Abstract:
:Nineteen patients were treated at the Los Angeles County Harbor/UCLA Medical Center between 1971 and 1986 for tuberculosis of the spine. Fourteen were immigrants, a high-risk group. A high index of suspicion is required for Pott's disease, which occurs in fewer than 1 percent of patients with tuberculosis, often presents with nonspecific symptoms, and may result in permanent deformity or neurologic impairment. CT scan, the most useful diagnostic test, showed abnormal results in 11 of 11 patients. MRI, a newer modality, may provide even more information. Eight patients required operation in addition to antimicrobial therapy. Four had lesions between T3 and T10, where the spinal canal is narrow, of whom three (75 percent had neurologic involvement. All four underwent anterior approach (thoracotomy) for decompression, debridement, and spinal fusion. Fifteen had lesions between T11 and S2. Three (20 percent) had neurologic involvement but responded to medical treatment alone. Four underwent drainage of abscess or spinal fusion for deformity. Combined surgical and medical treatment gave excellent results in this series.
journal_name
Chestjournal_title
Chestauthors
Omari B,Robertson JM,Nelson RJ,Chiu LCdoi
10.1378/chest.95.1.145subject
Has Abstractpub_date
1989-01-01 00:00:00pages
145-50issue
1eissn
0012-3692issn
1931-3543pii
S0012-3692(16)33606-6journal_volume
95pub_type
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