Summary
From a group of 171 patients with Pott’s paraplegia, 40 with the myelographic feature of cord atrophy were selected for study. Constant associated features were peridural fibrosis and a variable holdup in contrast medium flow which amounted to nothing more than an incomplete block. Thirty-six had clinical evidence of “quiescent” late-onset Pott’s paraplegia. Four were ascribed to the “reactivated” late-onset category. It is postulated that cord atrophy develops over a period of years and may be present before clinical features of cord decompensation manifest. It probably results in gradual progressive deterioration in cord function and militates against a successful outcome for anterior spinal fusion.
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References
Hodgson AR, Yau A, Kwon JS, Kim D (1964) A clinical study of 100 consecutive cases of Pott’s paraplegia. Clin Orthop 36: 128–150
Martin NS (1970) Tuberculosis of the spine: a study of the results of treatment during the last 25 yrs. J Bone Joint Surg [Br] 52 : 613–628
Guirguis AR (1967) Pott’s paraplegia. J Bone Joint Surg [Br] 49: 658–667
Adendorff JJ, Boeke EJ, Lazarus C (1987) Pott’s paraplegia. S Afr Med J 71: 427–428
Lifeso RM, Weaver P, Harder EH (1985) Tuberculous spondylitis in adults. J Bone Joint Surg [Am] 67A: 1405–1413
Butler RW (1935) Paraplegia in Pott’s disease with special reference to the pathology and aetiology. Br J Surg 22: 738–768
Jones BS (1972) The management of late onset Pott’s paraplegia caused by a bony ridge. S Afr Med J 46: 1664–1670
Hodgson AR, Stock FE, Fang HSY, Ong GB (1960) Anterior spinal fusion: the operative approach and pathological findings in 412 patients with Pott’s disease of the spine. Br J Surg 48: 172–178
Griffiths DL, Seddon HJ, Roaf R (1956) In: Pott’s paraplegia. Oxford University Press, London, pp 7–40
Hodgson AR, Wong W, Yau A (1969) X ray appearances of tuberculosis of the spine. Thomas, Springfield, pp 110–124
Seddon HJ (1946) Discussion on spinal caries with paraplegia. ProcR Med 39: 723–730
Weaver P, Lifeso RM (1984) Radilogical diagnosis of tuberculosis of the adult spine. Skeletal Radiol 12: 178–186
Hughes JT (1966) In: Pathology of the spinal cord. Lloyd-Luke, London, pp 73–74
Hodgson AR, Stock FE (1960) Anterior spine fusion for the treatment of tuberculosis of the spine: the operative findings and results of treatment in the first one hundred cases. J Bone Surg [Am] 42A: 295–310
Govender S, Charles RW, Naidoo KS, Goga IE (1988) Results of surgical decompression in chronic tuberculous paraplegia. S Afr Med J 74: 58–59
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© 1991 Springer-Verlag
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Handler, L.C., Corr, P.C. (1991). Cord atrophy in late-onset Pott’s paraplegia. In: du Boulay, G., Molyneux, A., Moseley, I. (eds) Proceedings of the XIV Symposium Neuroradiologicum. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-49329-4_34
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DOI: https://doi.org/10.1007/978-3-642-49329-4_34
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