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Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán

2019, Número 2

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Rev Biomed 2019; 30 (2)


Tratamiento quirúrgico de la espondilitis tuberculosa (enfermedad de Pott). Reporte de un caso y revisión de la literatura

Brito-Núñez NJ, Campos L, Díaz F, Velasquez M, Izaguirre E, Faria-Méndez G, Roa-Chacón C, Romano A, De Gouveia ML, Tabasca M, Krivoy J

Idioma: Español
Referencias bibliográficas: 24
Paginas: 59-65
Archivo PDF: 178.46 Kb.


RESUMEN

La espondilitis tuberculosa (enfermedad de Pott) representa del 1-5% de los casos de tuberculosis. Se presenta un caso clínico de una paciente femenina de 14 años de edad con esta patología complicada con fractura de cuerpos vertebrales T4, T7, T8 y T9; a quien se le realizó un abordaje por vía posterior, consistente en laminectomía completa bilateral de T3, T4, T7, T8, T9 preservando las articulaciones facetarias, mas artrodesis instrumentada con ganchos sublaminares en T1-T2, colocación de alambres sublaminares T5 y T6, tornillos transpediculares en T11 y dos barras de titanio. Con excelentes resultados postoperatorios. Además, se discuten las diferentes vías de abordaje quirúrgico de esta patología.


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