J Korean Orthop Assoc.  1970 Jun;5(2):73-78. 10.4055/jkoa.1970.5.2.73.

Treatment of the Spinal Tuberculosis with Severe Kyphosis and Paraplegia

• Kee JI
• Kang SY
• Moon MS
• Suk SI

• KMID: 2464359
• DOI: http://doi.org/10.4055/jkoa.1970.5.2.73

Abstract

Five cases of the spinal tuberculosis with severe kyphosis and paraplegia were treated with radical surgery at the Department of Orthopedic Surgery, Seoul National University Hospital. All the cases were involved at the thoracic spine and kyphosis were ranged 100 through 150 degrees. Severe fixed chest deformity and impaired pulmonary function were observed. By thoracotomy, aorta was seen to be adherent to the surrounding tissue and this was separated from the verterbral lesion with meticulous procedure. The focus was curetted radically exposing spinal cord which was decompressed with anterior transposition. Then the spine was stabilized with anterior interbody fusion. Postoperative intensive pulmonary care and antituberculous therapy are imperative for the good result. Spinal tuberculosi with severe kyphosis and paraplegia could be benefited with the radical surgery by the experienced surgeon.

MeSH Terms

Aorta
Congenital Abnormalities
Kyphosis*
Orthopedics
Paraplegia*
Seoul
Spinal Cord
Spine
Thoracotomy
Thorax
Tuberculosis, Spinal*