Publication: Treatment of acute tuberculous spondylitis by the spinal shortening osteotomy: A technical notes and case illustrations
Issued Date
2011-12-01
Resource Type
ISSN
19767846
19761902
19761902
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2-s2.0-84859375982
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Mahidol University
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SCOPUS
Bibliographic Citation
Asian Spine Journal. Vol.5, No.4 (2011), 237-244
Suggested Citation
Pongsthorn Chanplakorn, Niramol Chanplakorn, Chaiwat Kraiwattanapong, Wiwat Wajanavisit, Wichien Laohacharoensombat Treatment of acute tuberculous spondylitis by the spinal shortening osteotomy: A technical notes and case illustrations. Asian Spine Journal. Vol.5, No.4 (2011), 237-244. doi:10.4184/asj.2011.5.4.237 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/12176
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Title
Treatment of acute tuberculous spondylitis by the spinal shortening osteotomy: A technical notes and case illustrations
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Abstract
Surgical treatment for spinal tuberculosis is necessary in particular cases that a large amount of necrotic tissue is encountered and there is spinal cord compression. A spinal shortening osteotomy procedure has previously been described for the correction of the sagittal balance in a late kyphotic deformity, but there have been no reports on this as a surgical treatment in the acute stage. Thus, the aim of this report is to present the surgical techniques and clinical results of 3 patients who were treated with this procedure. Three patients with tuberculous spondylitis at the thoracic spine were surgically treated with this procedure. All the patients presented with severe progressive back pain, kyphotic deformity and neurological deficit. The patients recovered uneventfully from surgery without further neurological deterioration. Their pain was improved and the patients remained free of pain during the follow-up period. In conclusion, posterior spinal shortening osteotomy is an alternative method for the management of tuberculous spondylitis.