Anterior and Posterior Fusion in Spine Tuberculosis
10.4055/jkoa.1978.13.4.693
- Author:
In Kwon KIM
- Publication Type:Original Article
- MeSH:
Adult;
Child;
Diagnosis;
Follow-Up Studies;
Humans;
Joints;
Korea;
Kyphosis;
Spine;
Tuberculosis
- From:The Journal of the Korean Orthopaedic Association
1978;13(4):693-699
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Tuberculosis of the spine had been treated with posterior fusion of the spine mostly in 1950s and anterior fusion in 1960s in Korea. Posterior fusion is more simple procedure but cannot decompress in cord involvement nor confirm the diagnosis. Anterior fusion alone induce ofen progressive kyphosis in children who has more than two joint spaces involvement or who has already moderate kyphosis, and is hard to get solid anterior fusion in moderate or severe kyphosis in adult tuberculosis, Combined anterior and posterior fusion had been carried out in one or two stage since early 1970s and satisfactory results were obtained in 27 cases with follow up period of 6 moriths to 6 years. It is found that there are many advantages of one stage spine fusion and the patient tolerated the procedure well. It is concluded that the treatment of choice in most of the spine tuberculosis in children who has moderate kyphosis or more than two level involvement, and moderate kyphosis in adult are anterior and posterior fusion in one stage.
