CURRENT CONCEPTS ON SPINAL TUBERCULOSIS
Küçük Resim Yok
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Spinal tuberculosis (TB) is seen in 2% of TB patients and 50% of skeletal involvement of TB. Low back pain, fever, weight loss, and night sweatsare the most common symptoms. However, the gold standard for its diagnosis is the growth of Mycobacterium tuberculosis in culture taken fromtissue samples. Magnetic resonance imaging is the preferred imaging modality in the diagnosis of spinal TB. Typical findings include lesionsin the vertebral endplates, anterior involvement of the vertebral body, and subligamentous spread. The aim of the treatment is to confirm thediagnosis, to clear the lesion from bacteria, and to eliminate spinal deformity and spinal cord pressure. Drug therapy is recommended for 9-12months. There is controversy in the literature regarding the need for additional surgical intervention in the treatment of spinal TB. Many authorshave suggested surgery in the presence of progressive neurological deficit, instability, progressive kyphosis above the 50 degrees or diseaseunresponsive to drug therapy. Surgical approach in spinal TB surgery is still being discussed. The location of the lesion, instability, patient-relatedfactors, and severity of deformity should be considered when deciding on the approach.
Açıklama
Anahtar Kelimeler
Kaynak
Journal of Turkish Spinal Surgery
WoS Q Değeri
Scopus Q Değeri
Cilt
31
Sayı
1
