A Clinical Study of Tuberculous Spondylitis
10.4055/jkoa.1981.16.2.300
- Author:
Jae In AHN
;
Hak Yoon OH
;
Jung Ho RAH
;
Koon Soon KANG
- Publication Type:Original Article
- MeSH:
Adult;
Blood Sedimentation;
Child;
Clinical Study;
Communicable Diseases;
Debridement;
Drug Therapy;
Follow-Up Studies;
Gangwon-do;
Humans;
Muscle Spasticity;
Paraplegia;
Prevalence;
Retrospective Studies;
Spondylitis;
Thoracic Vertebrae
- From:The Journal of the Korean Orthopaedic Association
1981;16(2):300-310
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
After development of antituberculous chemotherapy, the prevalence of tuberculous spondylitis has been reduced dramatically, but still this problem has remained as a serious infectious disease in developing areas. For the period of 8 years from January 1972 to December 1979, 148 patients who were treated for tuberculous spondylitis at Wonju Christian Hospital, College of Medicine, Yonsei University, were studied retrospectively and the results are summarized as follows: 1. The prevalent age was under 15 years (41.3%) 2. The lag period to treatment in most cases was one to six months(60.8%) 3. The most common site was thoracolumbar junction (37.2%) and the 10th thoracic vertebrae was especially affected. 4. There were 43 cases of associated tuberculous lesions (29.1%) 5. The involved numbers of vertebral bodies were 3.4 in the child and 2. 3 in the adult. 6. Initial checking of erythrocyte sedimentation rate for patients with tuberculous spondylitis showed over 15 mm/hr in 79.3%, but 77.1% patients on post-operative follow-up came within the normal limit. 7. There were 30 early paraplegics. 8; There were 10 complete and 21 incomplete paraplegics and the spastic type was more common than the flaccid type. 9. The recovery rate from paraplegia was 90.5% in incomplete paraplegics and 80.0% in complete paraplegics. 10. The kyphotic angle was checked by means of Konstams angle. Results were as follows: Total mean changes in angle were 12.9, 2.7, and 1.5 after debridement, anterior fusion and posterior fusion respectively in the adults, and in the children each total mean changes in angle were 7. 2, 4. 0 and 2. 0 respectively.
