Problems of the Anterior Spinal Fusion in the Treatment of the Spinal Tuberculosis in Children
10.4055/jkoa.1978.13.3.325
- Author:
Sang Hoon LEE
;
Se Il SUK
;
Myung Ho KIM
- Publication Type:Case Report
- MeSH:
Child;
Follow-Up Studies;
Humans;
Joints;
Kyphosis;
Seoul;
Spinal Fusion;
Spine;
Surgical Procedures, Operative;
Transplants;
Tuberculosis;
Tuberculosis, Spinal
- From:The Journal of the Korean Orthopaedic Association
1978;13(3):325-334
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The use of antituberculous drug made it possible to develop the radical operative procedure in the treatment of the spine tuberculosis. The anterior fusion is the most frequently used surgical measure in the treatment of the spine tuberculosis but several problems were observed not infrequently. One hundred and twenty-nine cases of childhood spine tuberculosis were treated by the anterior spinal fusion for the period of ten years from 1968 to 1977 at Seoul National University Hospital, and following results were obtained. Problems of the anterior spinal fusion could be divided into two categories; one is the complications and the others are difficulties in the surgical procedure. Complications of the anterior spinal fusion were divided into early and late. Early complications include graft failure, pulmonary problems, cord compression and spinal fluid leakage. Late complications include increasing kyphosis, draining sinus and graft failure. Degrees of increasing kyphosis were the greatest in the age group between the and five years, and greater degrees of increasing kyphosis were observed in more joint involvement. Increasing kyphosis were observed more frequently in longer follow up. The causes of increasing kyphosis could be considered as the relative discrepancies between the growth of the anterior and posterior comparment, and graft failure.
