Pott's disease. A resurgent challenge to the thoracic surgeon.

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

Chest

journal_title

Chest

authors

Omari B,Robertson JM,Nelson RJ,Chiu LC

doi

10.1378/chest.95.1.145

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

145-50

issue

1

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)33606-6

journal_volume

95

pub_type

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