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At least 937 records · Page 52Linked to original sources
PubMed1991

Surgery for progressive Pott's paraplegia (tuberculous paraplegia)

This is a study of 20 patients who had surgical intervention for Pott's paraplegia at the Hacettepe University Neurosurgery Department, Ankara. All patients were admitted with progressive paraparesis. Eleven patients had vertebrectomies, 5 laminectomies and in 4 patients costo-transversectomies were performed. The follow-up period ranged from 1 to 10 years. Thirteen patients were found to be normal at follow-up examinations (65%). In 4 patients there was some improvement in their neurological status, and the others had no improvement.

Adult↗
PubMed2001

Single stage decompression, anterior interbody fusion and posterior instrumentation for tuberculous kyphosis of the dorso-lumbar spine.

STUDY DESIGN: To evaluate the role of single stage decompression with anterior interbody fusion with posterior instrumentation and deformity correction of tuberculous kyphosis of the dorso-lumbar spine in patients with/without neurological deficit. OBJECTIVES: (1) To evaluate the amount of kyphosis correction with single stage surgery and its progression with time. (2) To evaluate the neurological recovery. (3) To evaluate the bony anterior interbody fusion. SETTING: King Edward Memorial Hospital, Bombay, India. METHODS: Twenty-eight patients with post-tuberculous kyphosis deformity averaging 64.3 degrees (range 17 to 105) were treated by a single stage posterolateral decompression, correction of kyphosis, anterior interbody fusion and posterior instrumentation. RESULTS: The mean kyphosis correction obtained was 62.5% with the mean post-operative kyphosis angle reducing to 24.1 (range 5-60). At a mean follow-up of 5.8 years (4-7 years) the mean kyphosis angle loss was 3.2 degrees (range 0-5 degrees ). Of the 23 patients with neurological deficit, recovery was seen in 21 cases (91.3%) while deterioration was seen in one case (4.3%). The remaining five patients were neurologically intact pre-operatively. Bony fusion was seen in all cases at 9 months. One patient with subpulmonary function died post-operatively (mortality 3.5%). CONCLUSION: The results of our series are encouraging. However single stage decompression with fusion and kyphosis correction is a very demanding surgery and should be performed after taking into account the risks and benefits involved. This surgery perhaps prevents progression of neurological deficit and recurrence of late onset paraplegia in these complex cases in developing countries.

Adolescent↗
PubMedDate not supplied

[Osteoid osteoma of the vertebral column].

The peculiarities of osteoid osteoma of the spine occurring most frequently during adolescence are pointed out and contrasted to the benigne osteoblastoma, based on 5 observations and on studies of the literature. The nidus is usually located excentrically and exceptionally even intrarticular. Two foci may occur side by side or one after another, and the adjacent vertebral end plates may be involved. Spontaneous subsiding of pain is possible. The dorsal portions of the lumbar spine are diseased occasionally under the clinician picture of tight hamstrings, most often, however, with a painful reactive scoliotic position of the spine with the concavity always to the involved side. Spontaneous pain and local joint tenderness do precede the x-ray manifestations for many months. The history of pain prior to diagnosis still exceeds one year in the average. The x-ray findings are extraordinary polymorphe. A high awareness of suspicion ought initiate repeated examinations with x-ray and scintigraph. Lack of pains and disappearance of the reactive malpositions of the trunk may be expected only after resection of the nidus. It's preoperative detection may cause considerable difficulties as well as the correct postoperative histological diagnosis in the absence of the relevant material. The most frequent misdiagnosis is low grade osteomyelitis which has been true with the authors who describes first the syndrome of tight hamstrings.

Adolescent↗
PubMed2001

Spinal cord compression, infection, and unknown primary cancers.

The management of a patient with spinal cord compression can be complicated and challenging; however, this challenge becomes even more pronounced if the patient presents without a known cancer diagnosis in the context of progressive neurologic symptoms. Unless potential causes such as infection/tuberculosis are included in the differential diagnosis of an apparent unknown primary, then the correct diagnosis may be incorrectly determined.

Female↗