Anbulatory Treatment of Tuberculous Spine in the Children

Moon, Myung Sang; Yoo, Chuong Ill

doi:10.4055/jkoa.1970.5.3.155

Cited by 3 publications

(4 citation statements)

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“…5,6,8,11). Therefore the author normally removes the rods after solid intercorporeal fusion about 9 months postoperatively to remobilize these instrumented segments 38,45 and over the last 15 years has carried out short rather than long segment posterior instrumented stabilization before anterior fusion.…”

Section: Extent Of Stabilization and Timing Of Implant Removalmentioning

confidence: 97%

“…9,10,33,34,39 My view is that bony and mixed replacement of the intervertebral space are not always synonymous with clinical healing, and that anterior radical surgery in adults to obtain cure through intercorporeal fusion is not justified in every case, because spontaneous fusion can be obtained by modern chemotherapy alone, and that cure can be also obtained without fusion. 6,8,21,27,30,39 Fusion is desirable, but is not essential for every patient. 22,35 In particular 'block spine' after anterior fusion in children is not desirable, as it accelerates the tuberculous kyphosis during growth.…”

Section: Spinal Fusionmentioning

confidence: 99%

“…2,3,6,7,15,26 It appears that short course chemotherapy (9 months) 33,34 and intermittent chemotherapy for non-skeletal tuberculosis is as effective as old long course regimens of 12-18 months (Table 3). [8][9][10]21,22,27,35 However, chemotherapy should be changed for non-responders i.e. in cases of serious clinical deterioration, notably the onset of paraparesis, untoward change in existing paraparesis or clear-cut radiographic extension of the spinal disease.…”

Section: First-line Agentsmentioning

confidence: 99%

“…While tuberculosis remains a major killer [1][2][3][4][5][6][7][8][9][10][11] particularly in developing countries 1,4,5,7,9,10 , in the last 2 decades in developed countries it had been thought that tuberculosis of spine was a curable medical disease without sequelae. About 95% of tuberculosis patients are in the developing world 1,4,5,9,10 ; China has 1.4 million new cases every year.…”

Section: Introductionmentioning

confidence: 99%

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Tuberculosis of spine—Contemporary thoughts on current issues and perspective views

Moon

2007

Current Orthopaedics

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Section: Extent Of Stabilization and Timing Of Implant Removalmentioning

confidence: 97%

Section: Spinal Fusionmentioning

confidence: 99%

Section: First-line Agentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tuberculosis of spine—Contemporary thoughts on current issues and perspective views

Moon

2007

Current Orthopaedics

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Conservative treatment of tuberculosis of the thoracic and lumbar spine in adults and children

Moon¹,

Kim²,

Woo³

et al. 1987

International Orthopaedics

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We have treated 75 cases of spinal tuberculosis with chemotherapy as outpatients. The drugs used were INH, rifampicin and ethambutol for the 48 adults, and INH, rifampicin and PAS for the 27 children. No operations, apart from the evacuation of large abscesses, were carried out. Every patient was followed up for at least three years and the outcome was judged to be favourable in 95%. This is better than in some series in which radical surgery has been used. Although we recognize the advantages of operation in certain circumstances, we believe that our conservative regimen can be confidently recommended for use in less privileged countries, where adequate facilities for hospital treatment may not be available.

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Treatment of Tuberculosis of the Cervical Spine

Moon

Kim

et al. 2007

Clinical Orthopaedics &Amp; Related Research

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We retrospectively reviewed 15 children (four with paralysis) and 39 adults (10 with paralysis) with tuberculosis of the cervical spine to assess the drug responses, disease arrest, and healing times. Ten children and 13 adults were treated nonoperatively, while anterior débridement was performed in five children (two with paralysis) and anterior radical surgery in 26 adults (10 with paralysis). Triple chemotherapy (isoniazid, rifampin, ethambutol [or pyrazinamide for children]) was given to all patients for 12 months. The tuberculosis began to arrest after 3 months of chemotherapy and healed within 12 months. Spontaneous fusion occurred in all adults but only two of the 10 children. Surgical fusion was achieved within 12 to 16 weeks in adults. In nonoperated patients, an initial kyphosis of 12 degrees progressed to 17 degrees at final followup in the children and an initial kyphosis of 9 degrees progressed to 13 degrees in 13 adults. In operated patients, the initial kyphosis of 13 degrees in adults became 2 degrees at the time of the fusion, while the initial kyphosis of 14 degrees in the five children progressed to 18 degrees. Patients with paraplegia recovered completely within 14 days on average (range, 1-42 days) after treatment. Recovery was gradual in the nonoperative group, while it occurred within 3 days in the operative group.

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Anbulatory Treatment of Tuberculous Spine in the Children

Cited by 3 publications

References 0 publications

Tuberculosis of spine—Contemporary thoughts on current issues and perspective views

Tuberculosis of spine—Contemporary thoughts on current issues and perspective views

Conservative treatment of tuberculosis of the thoracic and lumbar spine in adults and children

Treatment of Tuberculosis of the Cervical Spine

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