The role of surgery in the management of Pott's disease in Yaoundé. A review of 43 cases

Djientcheu, Vincent de Paul; Tambo, F.F. Mouafo; Ndougsa, I.S.; Eloundou, N.J.; Tsala, I.N. Kouna; Ngowe, Marcelin Ngowe; Andze, OG; Sosso, Maurice Aurélien

doi:10.1016/j.otsr.2012.12.022

Cited by 15 publications

(7 citation statements)

References 5 publications

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“…Although most of the previous studies have documented vertebral level, we have documented functional unit as one level considering paradiscal involvement of disease. 19 In a study of 284 cases by Wang, 21 13.7% had involvement of one vertebra, two vertebrae were involved in 59.5% and more than three vertebrae involvement was documented in 26.8% of cases.…”

Section: Discussionmentioning

confidence: 98%

“…10,11 Combination of conservative treatment in the form of anti-tubercular drugs and operative intervention such as simple decompression and stabilization has been reported to result in good clinical outcome in patients presenting with mild-to-moderate deficit. [12][13][14] Although there are limited studies regarding factors affecting neurological recovery in tuberculosis of spine, delay in starting treatment, cord compression, spinal extension of abscess and involvement of more than two vertebras were considered bad prognostic factors in medically treated patients of spinal tuberculosis according to one study. 15 Other studies have stated young age and surgical intervention as a favorable prognostic factor.…”

Section: Introductionmentioning

confidence: 99%

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Demographics of tuberculosis of spine and factors affecting neurological improvement in patients suffering from tuberculosis of spine: a retrospective analysis of 312 cases

et al. 2016

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Demographics of tuberculosis of spine and factors affecting neurological improvement in patients suffering from tuberculosis of spine: a retrospective analysis of 312 cases

et al. 2016

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“…The Pott's disease is relatively rare diagnosed in preschool children. Recently published study reported 43 cases of Pott's disease which were diagnosed in patients aged between 10-69 years [9]. Despite the fact that the study was carried out in Younde which is considered as one of the endemic regions of Pott's disease, the study did not report any preschool Pott's patient.…”

Section: Discussionmentioning

confidence: 96%

“…Presence with severe neurological deficit at surgery is an important prognostic factor. Surgical decompression should be early as soon as possible before a total neurological deficit is developed, which signifies the presence of irreversible, ischemic lesions (Frankel A) [9]. In patients with sharp angle gibbosity having also severe bone destruction, corpectomy with the posterior approach to avoid the morbidity of decompression through the anterior route, evacuation of the area anterior to the spinal cord, and gradual correction of local kyphosis with closingopening wedge osteotomy is an effective and reliable method [2].…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of preschool childhood spinal thoracic tuberculosis: two case reports and technical note

Erdem¹,

Abdallah²,

Karaca³

et al. 2018

Romanian Neurosurgery

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Background: The development of paraplegia and kyphosis are two important problems related to spinal tuberculosis (Pott’s disease) in children. The current study aims to present two pediatric Pott’s disease, point out the progression of this disease in children, surgical options and surgical outcomes. Materials and methods: Two cases of childhood Pott’s disease were referred to our department with progressive neurological deficits (both of children were experienced bilateral weakness in lower extremities; grade C according to Frankel scale) during short periods (less than one month per each). Both cases’ MRIs are demonstrated abscesses in thoracic spine. Both patients are treated surgically. We discussed in this study the technical notes in both cases, especially in 2- year-old child. Results: Both cases were treated surgically after decompressing nerve roots and thecal sac posterior instrumentation was applied. Microbiological examination of both samples revealed on M.Tuberculosis. Orthoses are applied three months after operations. Antituberculosis medication protocol was applied. Preoperative paraparesis had recovered completely and muscle strengths all returned to normal in both children. There is no loss of correction during the follow-up periods. Conclusion: Spinal tuberculosis is a dynamic disease that may lead to severe deformities in childhood. Especially in cases where two or more vertebrae are affected, early surgical treatment is essential to prevent severe kyphosis. Surgical intervention accompanied with antituberculosis medications protocol is essential to cure treatment in pediatric population. In children aged ≤6 years and more than one vertebrae were affected, fıbula can be used to allow growth of the child vertebral column.

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“…Tipe pembedahan yang bisa dilakukan adalah debridement pada segmen terinfeksi dengan atau tanpa stabilisasi tulang belakang (rekonstruksi). [5][6][7] Prognosis spondilitis TB bervariasi tergantung dari manifestasi klinik yang terjadi. Prognosis yang buruk berhubungan dengan TB milier, dan meningitis TB, dapat terjadi sekuele antara lain: tuli, buta, paraplegi, retardasi mental, gangguan bergerak dan lain-lain.…”

Section: Pendahuluanunclassified

Spondilitis tuberkulosis relap pasca debridemant dan fusi

Sahputra

2019

Maj Kedokt Andalas

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Spondilitis tuberkulosis merupakan penyakit tuberkulosis ekstrapulmonar yang sering terjadi. Insiden kasus mencapai setengah dari angka kejadian tuberkulosis muskuloskeletal. Kebanyakan spondilitis TB terjadi pada anak-anak dan dewasa muda. Angka kejadian cenderung meningkat pada negara berkembang. Vertebrae lumbal merupakan area yang sering terjadi. Gambaran destruksi diskus intervertebralis dan meluas ke korpus, kompresi medula spinalis dan anterior wedging menyebabkan deformitas kiposis dan terbentuknya gibbus. Tujuan: Melaporkan kasus spondilitis relap pasca tindakan pembedahan. Kasus: Sebuah kasus spondilitis tuberkulosis thoracolumbal junction yang relap setelah dilakukan debridement dan fusi sebelumnya pada pasien laki-laki berusia 31 tahun. Keluhan saat ini kembali merasakan nyeri di punggung bawah yang menjalar ke paha kiri disertai kelemahan kedua tungkai sejak 6 bulan terakhir. Pada pemeriksaan penunjang X-Ray dan MRI thoracolumbal ditemukan fusi corpus thoracal (Th) 10 - lumbal 1, stabilisasi dengan pedicel screw pada Th10-11, lumbal 1-2, terlihat destruksi corpus intervertebralis Th7-8. Dilakukan implant removal, circumferential debridement, dan dekompresi pada Th7-8 dan dilakukan stabilisasi di Th5, 6, 9, dan 10. Intra operatif ditemukan terbentuknya sinus yang menghasilkan pus dan masa perkejuan sepanjang Th7-9. Simpulan: Kekambuhan dipengaruhi oleh multifaktorial seperti usia, kepatuhan pengobatan, efektivitas debridement, dan status gizi.

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The role of surgery in the management of Pott's disease in Yaoundé. A review of 43 cases

Abstract: Level IV. Retrospective study.

Cited by 15 publications

References 5 publications

Demographics of tuberculosis of spine and factors affecting neurological improvement in patients suffering from tuberculosis of spine: a retrospective analysis of 312 cases

Demographics of tuberculosis of spine and factors affecting neurological improvement in patients suffering from tuberculosis of spine: a retrospective analysis of 312 cases

Surgical treatment of preschool childhood spinal thoracic tuberculosis: two case reports and technical note

Spondilitis tuberkulosis relap pasca debridemant dan fusi

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