2003, Number 4
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Rev Hosp Jua Mex 2003; 70 (4)
Tuberculosis vertebral. Manejo quirúrgico en menores de cinco años
Villaseñor MJJ, Cardoso MA, Orellana RC
Language: Spanish
References: 17
Page: 139-142
PDF size: 24.96 Kb.
ABSTRACT
At children Shriners Hospital, Mexico Unit, from March 1982 to February 2001, a retrospective study to demonstrate the efficiency
of surgical treatment on under 5 years old patients was done, getting an universe of 12 patients with an average age of 3 7/12 years
old and an average evolution of 18 months, a pre-surgery check was performed, which consisted on laboratory and office studies,
antituberculous chemotherapy was implemented based on isoniazid, ethambutol, estreptomycin for 12 months. The neurological
deficit was classified by a Frankel scale, finding 3 patients in A grade, 5 in B grade, 2 in C grade and 2 patients in D grade, preoperating
kyphotic curve was found from 12 to 92 grades, in an average of 62.8 grades. The post-treatment neurological level
improved in an average of 2 grades, the post-operating kyphotic curve average was 40.6 grades. In 6 cases the results were
excellent (50%), good in 5 patients (40%) and regular in one patient (10%).
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