Pott's disease surgery: Difference between revisions

Jump to navigation Jump to search
No edit summary
Line 5: Line 5:
==Overview==
==Overview==
==Surgery==
==Surgery==
===Indications for Surgery===
Patients with:
*Neurological deficits
*Potential mechanical instability
*Kyphosis  leading  to  sagittal  imbalance or severe  kyphosis  ≥60°
*Large thoracic spine abscess casing esophageal obstruction or cervical abscess causing dyspnea
*Abscess increasing in size even after 3 to 6 months of standard medical therapy
*Worsening neurological function during the period of medical therapy
*Children ≤ seven  years  of  age, with three or more affected vertebral bodies
===Surgical Options===
*Surgical therapy for spinal tuberculosis is by decompression of the cord with debridement of the infected tissue via the anterior or anterolateral approach.
*Anterior transposition of cord with shaving of the internal gibbus can be performed in patients with severe kyphotic deformities with compression of the cord.
*Laminectomy for decompression is contraindicated in cases with anterior spinal tuberculosis, as it increases the unstability of the spine.


==References==
==References==

Revision as of 19:14, 23 March 2017

Pott's disease Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pott's Disease from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pott's disease surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Pott's disease surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pott's disease surgery

CDC on Pott's disease surgery

Pott's disease surgery in the news

Blogs on Pott's disease surgery

Directions to Hospitals Treating Pott's disease

Risk calculators and risk factors for Pott's disease surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Surgery

Indications for Surgery

Patients with:

  • Neurological deficits
  • Potential mechanical instability
  • Kyphosis leading to sagittal imbalance or severe kyphosis ≥60°
  • Large thoracic spine abscess casing esophageal obstruction or cervical abscess causing dyspnea
  • Abscess increasing in size even after 3 to 6 months of standard medical therapy
  • Worsening neurological function during the period of medical therapy
  • Children ≤ seven years of age, with three or more affected vertebral bodies

Surgical Options

  • Surgical therapy for spinal tuberculosis is by decompression of the cord with debridement of the infected tissue via the anterior or anterolateral approach.
  • Anterior transposition of cord with shaving of the internal gibbus can be performed in patients with severe kyphotic deformities with compression of the cord.
  • Laminectomy for decompression is contraindicated in cases with anterior spinal tuberculosis, as it increases the unstability of the spine.

References

Template:WH Template:WS