Abstract
Surgical Intervention in the treatment of spinal tuberculosis (TB) antedated the discovery of the antibiotics. Although some of these innovative surgical procedures were successful, the outcome was poor due to the fact that surgery was not supplemented with the yet undiscovered anti-microbial agents.
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Abramovitz JN, Batson RA, Yablon JS (1986) Vertebral osteomyelitis: the surgical management of neurologic complications. Spine 11:418–420
Al Arabi KM, Al Sebai MW (1991) Bifacetal dislocation following tuberculosis of the cervical spine. Tubercle 72: 294–298
Al Arabi KM, Al Sebai MW, Al Chakaki M (1992) Evaluation of radiological investigations in spinal tuberculosis. Int Orthop 16:165–167
Albee FH (1911) Transplantation of a portion of the tibia into the spine for Pott’s disease: a preliminary report. JAMA 57: 885–886
Al Sebai MW et al (2001) Operative treatment of progressive deformity in spinal tuberculosis. Int Orthop 25:322–325
Altman GT, Altman DT, Frankovitch KF (1996) Anterior and posterior fusion for children with tuberculosis of the spine. Clin Orthop Relat Res 325:225–231
Arumagasamy N, Pyn CC, Keng KK (1977) Tuberculous abscesses of the cervical spine with quadriparesis. Surg Neurol 8:35–40
Bailey HL et al (1972) Tuberculosis of the spine in children. J Bone Joint Surg 54A: 1633–1657
Boachie-Adjei O, Squillante RG (1996) Tuberculosis of the spine. Orthop Clin North Am 27:95–103
Bradford DS, Daher XH (1986) Vascularized rib grafts for stabilization of Kyphosis. J Bone Joint Surg 68B:357–361
Bront ZM, Burke VD, Jeffrey RB (1983) CT in the evaluation of spine infection. Spine 8:358–364
Dobson J (1951) Tuberculosis of the spine. Analysis of the results of conservative treatment and of the factors influencing the prognosis. J Bone Joint Surg 33B:517–531
Fellander M (1975) Paraplegia in spondylitis: results of operative treatment. Paraplegia 13:75–88
Govender S, Parbhoo AH (1999) Support of the anterior column with allografts in tuberculosis of the spine. J Bone Joint Surg 81:106–109
Graziano GP, Sidhu KS (1993) Salvage reconstruction in acute and late sequelae from pyogenic thoracolumbar infection. J Spinal Discord 6:199–207
Gristina AG, Costerton JW (1985) Bacterial adherence and the glycocalyx and their role in musculoskeletal infection. Orthop Clin North Am 15:517–535
Gristina AG et al (1985) Bacterial adherence and the pathogenesis of osteomyelitis. Science 228:99–103
Gupta RK et al (1993) Ultrasound-guided needle biopsy of lytic lesions of the cervical spine. J Clin Ultrasound 21:194–197
Guven O et al (1994a) A Single stage posterior approach and rigid fixation for preventing Kyphosis in the treatment of spinal tuberculosis. Spine 19:1039–1043
Guven O, Yalcin S, Karahan M (1994b) Eggshell procedure in correction of neglected cases of Pott’s Kyphosis. Proceedings of the 5th biannual Conference of European Spinal Deformities Society. Birmingham, England. Springer, Berlin Heidelberg New York, pp 84–85
Hibbs RA (1911) An Operation for progressive spinal deformities. NY State Med J 93:1013–1016
Hodgson AR, Stock FE (1956) Anterior spinal fusion: a preliminary communication on the radical treatment of Pott’s disease and Pott’s paraplegia. Br J Surg 44:266–275
Hodgson AR, Stock FE (1960) Anterior spinal fusion for the treatment of tuberculosis of the spine. J Bone Joint Surg 42A:295
Hodgson AR et al (1964) A clinical study of 100 consecutive cases of Potfs paraplegia. Clin Orthop 36:128–150
Hsu LCS, Leong JCY (1984) Tuberculosis of the lower cervical spine (C2 t C7). J Bone Joint Surg 66B:1–5
Ito H, Tsuchiya J, Asami G (1934) A new radical Operation for Potfs disease: report of then cases. J Bone Joint Surg 16: 499–515
Jain R, Sawhney S, Berry M (1993) Computed tomography of vertebral tuberculosis: patterns of bone destruction. Clin Radiol 47:196–199
Jeanneret B, Magerl F (1994) Treatment of osteomyelitis of the spine using percutaneous suction/irrigation and percutaneous external spinal fixation. J Spinal Disord 7:185–205
Kang M et al (1999) CT guided fine needle aspiration biopsy of spinal lesions. Acta Radiol 40:474–478
Kattapuram SV, Rosenthal DI (1987) Percutaneous biopsy of the cervical spine using CT guideance. AJR 149:539–541
Kemp HBS, Jackson JW, Shaw NC (1974) Laminectomy in paraplegia due to infective spondylitis. Br J Surg 61:66–72
Kirkaldy-Willis WH, Thomas TG (1965) Anterior approaches in the diagnosis and treatment of infections of the vertebral bodies. J Bone Joint Surg 47A:87–110
Kondo E, Yamada K (1937) End results of focal debridement in bone and Joint tuberculosis and its indications. J Bone Joint Surg 39A:27
Konstam PG, Blesovsky A (1962) The ambulant treatment of spinal tuberculosis. Br J Surg 50:26–38
Konstam PG, Konstam ST (1958) Spinal tuberculosis in southern Nigeria: with Special reference to ambulant treatment of thoraco-lumbar disease. J Bone Joint Surg 40B:26–32
Korkusuz F, Islam C, Korkusuz Z (1997) Prevention of postoperative late Kyphosis in Pott’s disease by anterior decompression and intervertebral grafting. World J Surg 21:524–528
Kostuik JP (1983) Anterior spinal cord decompression of lesions of the thoracic and lumbar spine, techniques, new methods of internal fixation. Spine 8:512–531
Lee TC et al (1999) Transpedicular instrumentation as an adjunct in the treatment of thoracolumbar and lumbar spine tuberculosis with early stage bone destruction. J Neurosurg 91[Suppl 2]:163–169
Lifeso R (1987) Atlanto-axial tuberculosis in adults. J Bone Joint Surg 69(B):183–187
Lifeso RM, Weaver P, Härder EH (1985) Tuberculosis spondylitis in adults. J Bone Joint Surg 67A:1405–1413
Luk KD (1999) Tuberculosis of the spine in the new millennium. Eur Spine J 8:338–345
Martin NS (1970) Tuberculosis of the spine. A study of the results of treatment during the last twenty-five years. J Bone Joint Surg 52B:613–628
McGraham JP, Dublin AB (1985) Evaluation of spinal infection by piain radiographs, computed tomography, intrathecal metrizamide and CT guided biopsy. Diagn Imag Clin Med 54:11–20
Medical Research Council Working Party on Tuberculosis of the Spine, First Report (1973a) A controlled trial of ambulant out-patient treatment and in-patient rest in bed in the management of tuberculosis of the spine in young Korean patients on Standard chemotherapy. A study in Masan, Korea. J Bone Joint Surg 55B-.678–697
Medical Research Council Working Party on Tuberculosis of the Spine, Second Report (1973b) A controlled trial of plaster of Paris jackets in the management of ambulant outpatient treatment of tuberculosis of the spine in children on Standard chemotherapy: a study in Pusan, Korea. Tubercle 54:261–282
Medical Research Council Working Party on Tuberculosis of the Spine, Third Report (1974a) A controlled trial of debridement and ambulatory treatment in the management of tuberculosis of the spine in patients on Standard chemotherapy: a study in Bulawayo, Rhodesia. J Trop Med Hyg 77:72–92
Medical Research Council Working Party on Tuberculosis of the Spine, Fourth Report (1974b) A controlled trial of anterior spinal fusion and debridement in the surgical management of tuberculosis of the spine in patients on Standard chemotherapy: a study in Hong Kong. Br J Surg 61:853–866
Medical Research Council Working Party on Tuberculosis of the Spine, Fifth Report (1976) A five-year assessment of controlled trials in in-patient and out-patient treatment and plaster of Paris jackets for tuberculosis of the spine in children on Standard chemotherapy. Studies in Masan and Pusan, Korea. J Bone Joint Surg 58B:399–411
Medical Research Council Working Party on Tuberculosis of the Spine, Sixth Report (1978a) Five year assessments of controlled trials of ambulatory treatment, debridement and anterior spinal fusion in the management of tuberculosis of the spine: studies in Vulawayo (Rhodesia) and in Hong Kong. J Bone Surg 60B:163–177
Medical Research Council Working Party on Tuberculosis of the Spine, Seventh Report (1978b) A controlled trial of anterior spinal fusion and debridement in the surgical management of tuberculosis of the spine in patients on Standard chemotherapy: a study in two centers in South Africa. Tubercle 59:79–105
Medical Research Council Working Party on Tuberculosis of the Spine, Eighth Report (1982) A 10 year assessment of a controlled trial comparing debridement and anterior spinal fusion in the management of tuberculosis of the spine in patients on Standard chemotherapy in Hong Kong. J Bone Joint Surg 64B:393–398
Medical Research Council Working Party on Tuberculosis of the Spine, Ninth Report (1985) A 10 year assessment of controlled trials of inpatient and outpatient treatment and of plaster of Paris jackets for tuberculosis of the spine in children on Standard chemotherapy: studies in Masan and Pusan, Korea. J Bone Joint Surg 6B:103–110
Medical Research Council Working Party on Tuberculosis of the Spine, Tenth Report (1986) A controlled trial of six month and nine month regimens of chemotherapy in patients undergoing radical surgery for tuberculosis of the spine in Hong Kong. Tubercle 67:243–259
Medical Research Council Working Party on Tuberculosis of the Spine, Eleventh Report (1989) A comparison of 6 or 9 month course regime of chemotherapy in patients receiving ambulatory treatment or undergoing radical surgery for tuberculosis of the spine. Indian J Tuberc [Suppl] 36:1–21
Medical Research Council Working Party on Tuberculosis of the Spine. Thirteenth report (1998) A 15-year assessment of controlled trials of the management of tuberculosis of the spine in Korea and Hong Kong. J Bone Joint Surg 80B: 456–462
Medical Research Council Working Party on Tuberculosis of the Spine. Fourteenth Report (1999) Five-year assessment of controlled trials of short-course chemotherapy regimens of 6,9 or 18 months duration for spinal tuberculosis in patients ambulatory from the Start or undergoing radical surgery. Int Orthop 23:73–81
Menard V (1894) Causes de paraplegie dans 1e mal de Pott. Son traitment Chirurgical Par Pouverture directe de goyer tuberculeuse des vertebras. Rev Orthop 5:47–54
Moon MS (1991) Combined posterior instrumentation and anterior interbody fusion for active tuberculosis Kyphosis of the thoraxolumbar spine. Curr Orthop 5:177–179
Moon MS (1997) Tuberculosis of the spine. Controversies and a new challenge. Spine 22:1791–1797
Moon MS et al (1987) Conservative treatment of tuberculosis of the thoracic and lumbar spine in adults and children. Int Orthop 11:315–322
Moon MS et al (1995) Posterior instrumentation and anterior interbody fusion for tuberculosis Kyphosis of dorsal and lumbar spines. Spine 20:1910–1916
Moon MS et al (1996) Pott’s paraplegia — 67 cases. Clin Orthop Relat Res 323:122–128
Oga M et al (1993) Evaluation of the risk of instrumentation as a foreign body in spinal tuberculosis. Clinical and biologic study. Spine 18:1890–1894
Pertuiset E (1999) Medical therapy of bone and Joint tuberculosis in 1998. Rev Rhumat 66:152–157
Pott P (1936) Remarks on that kind of palsy of the lower limb, which is frequently found to accompany a curvature of the Spine, and is supposed to be caused by it. Williams and Wilkins, Baltimore MD, pp 271–323 (Medical classics, vol I)
Rahman N, Al Arabi KM, Khan FA (1987) Atypical forms of spinal tuberculosis. Acta Neuro Chir 88:26–33
Rand C, Smith MA (1989) Anterior spinal tuberculosis: paraplegia following laminectomy. Ann R Coll Surg Engl 71:105–109
Rath SA et al (1996) Neurosurgical management of thoracic and lumbar vertebral osteomyelitis and discitis in adults: a review of 43 consecutive surgically treated patients. Neurosurgery 38:926–933
Redfern RM et al (1988) Stabilization of the infected spine. J Neurol Neurosurg Psychiatry 51:803–897
Rezai AR et al (1995) Modern management of spinal tuberculosis. Neurosurgery 36:87–97
Schulitz KP et al (1997) Growth changes of solidly fused Kyphotic block after surgery for tuberculosis. Comparison of four procedures. Spine 22:1150–1155
Seddon HJ (1934/1935) Pott’s Paraplegia: prognosis and treatment. Br J Surg 22:769–799
Sharif HS et al (1993) Role of CT and MR imaging in the management of tuberculous spondylitis. Radiol Clin North Am 33:787–804
Smith IE et al (1996) Kyphosis secondary to tuberculosis osteomyelitis as a cause of ventilatory failure. Chest 110: 1105–1110
Tuli SM (1975) Results of treatment of spinal tuberculosis by “Middle-path” Regime. J Bone Joint Surg 57B:13–23
Tuli SM (1995) Severe Kyphotic deformity in tuberculosis of the spine. Int Orthop 19:327–331
Upadhyay SS et al (1993) 17-year prospective study of surgical management of spinal tuberculosis in children. Hong Kong Operation compared with debridement surgery for short and long term outcome of deformity. Spine 18: 1704–1711
Upadhyay SS et al (1994) Surgical management of spinal tuberculosis in adults. Hong Kong Operation compared with debridement surgery for short and long term outcome of deformity. Clin Orthop Relat Res 302:173–182
Wu SS et al (1996) Management of rigid post-traumatic Kyphosis. Spine 21:2260–2267
Yau AMC et al (1974) Tuberculous Kyphosis: correction with spinal osteotomy, halopelvic distraction, and anterior and posterior fusion. J Bone Joint Surg 56A: 1419–1434
Yilmaz C et al (1999) Anterior instrumentation for the treatment of spinal tuberculosis. J Bone Joint Surg 81A: 1261–1267
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Al Sebai, M.W., Madkour, M.M., Al Moutaery, K.R. (2004). Surgical Management of Spinal Tuberculosis. In: Madkour, M.M. (eds) Tuberculosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18937-1_31
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DOI: https://doi.org/10.1007/978-3-642-18937-1_31
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