2019, Number 2
<< Back Next >>
Rev Biomed 2019; 30 (2)
Surgical treatment of tuberculous spondylitis (Pott’s disease). Case report and literature review
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
Language: Spanish
References: 24
Page: 59-65
PDF size: 178.46 Kb.
ABSTRACT
Tuberculous spondylitis (Pott’s disease) represent 1-5% of
tuberculosis cases. We present a clinical case of a female patient of 14
years of age with tuberculous spondylitis (Pott’s disease) complicated
with vertebral body fracture T4, T7, T8 and T9, who underwent a
posterior approach, bilateral complete laminectomy of T3, T4, T7,
T8, T9 preserving the facet joints, more arthrodesis instrumented with
sublaminar hooks in T1-T2 placement of sublaminar wires T5 and
T6 placement of transpedicular screws in T11, and two titanium bars.
With excellent postoperative results. In addition, the different surgical
approaches to this pathology are discussed.
REFERENCES
Global tuberculosis report 2017. Geneva: World Health Organization; 2017. Licence: CC BY-NCSA 3.0 IGO. [citado, 11 de febrero 2018] Disponible en: http://apps. who.int/iris/bitstream/10665/259366/1/9789241565516- eng.pdf?ua=1
World Health Organization. Tuberculosis [Internet]. Venezuela (Bolivarian Republic of): WHO; 2016. [cited 12 Feb 2018] Available from: https://extranet.who.int/ sree/Reports?op=Replet&name=/WHO_HQ_Reports/ G2/PROD/EXT/TBCountryProfile&ISO2=ve&outtype =pdf
Peto H. M., Pratt R. H., Harrington T. A., LoBue P. A., Armstrong L. R. Epidemiology of extrapulmonary tuberculosis in the United States, 1993–2006. Clinical Infectious Diseases. 2009;49(9):1350–1357. DOI: https://doi.org/10.1086/605559.
Pellisé F. Tuberculosis and Pott’s disease, still very relevant health problems. European Spine Journal. 2013;22(4):527–528. DOI: https://doi.org/10.1007/ s00586-012-2531-5.
Lacerda C, Linhas R, Duarte R. Tuberculous Spondylitis: A Report of Different Clinical Scenarios and Literature Update. Case Rep Med. 2017; 2017: 4165301. DOI: https://doi.org/10.1155/2017/4165301
Rajasekaran S, Kanna RM, Shetty AP. History of spine surgery for tuberculous spondylodiscitis. Unfallchirurg. 2015 Dec;118 Suppl 1:19-27. DOI: https://doi. org/10.1007/s00113-015-0093-9.
Trecarichi EM, Di Meco E, Mazzotta V, Fantoni M. Tuberculous spondylodiscitis: epidemiology, clinical features, treatment, and outcome. Eur Rev Med Pharmacol Sci. 2012 Apr;16 Suppl 2:58-72.
Ballesteros R, Gómez E, Bonsfills N, González R, García FJ, Moreno J, et al. Columna Toracolumbar. 1 era edición. Madrid, España. Edit. MARBAN LIBROS. 2012, Pp. 566-572.
Pigrau-Serrallach C, Rodríguez-Pardo D. “Bone and joint tuberculosis,” European Spine Journal. 2013: 22(4):556–566.
Jain AK. Tuberculosis of the spine: a fresh look at an old disease. Journal of Bone and Joint Surgery. 2010; 92(7): 905–913.
Marais S, Roos I, Mitha A, Mabusha SJ, Patel V, Bhigjee AI. Spinal tuberculosis: Clinicoradiological findings in 274 patients. Clin Infect Dis. 2018 Jan 11. DOI: https:// doi.org/10.1093/cid/ciy020
Cantwell LM, Perkins JC, Keyes DCV. Pott’s disease in a patient with subtle red flags. J Em Med. DOI: https:// doi.org/10.1016/j.jemermed.2017.12.007
Zou DX, Zhou JL, Zhou XX, Jiang XB. Clinical efficacy of CT-guided percutaneous huge ilio-psoas abscesses drainage combined with posterior approach surgery for the management of dorsal and lumbar spinal tuberculosis in adults. Orthop Traumatol Surg Res. 2017 Dec;103(8):1251-1255. DOI: https://doi.org/10.1016/j. otsr.2017.07.015.
Hodgson AR, Stock FE, Fang HS, Ong GB. Anterior spinal fusion. The operative approach and pathological findings in 412 patients with Pott’s disease of the spine. Br J Surg. 1960 Sep;48:172-8.
Jin D1, Qu D, Chen J, Zhang H. One-stage anterior interbody autografting and instrumentation in primary surgical management of thoracolumbar spinal tuberculosis. Eur Spine J. 2004 Mar;13(2):114-21.
Fu ZQ, Zhang ZM, Jin DD, Chen JT, Qu DB. [Complications of the anterior surgical approach for thoracolumbar spine tuberculosis: causes and countermeasures]. Nan Fang Yi Ke Da Xue Xue Bao. 2009 Jun;29(6):1229-31.
Lee SH, Sung JK, Park YM. Single-stage transpedicular decompression and posterior instrumentation in treatment of thoracic and thoracolumbar spinal tuberculosis: a retrospective case series. J Spinal Disord Tech. 2006 Dec;19(8):595-602.
Shen X, Huang X, Xiao S, Liu H, Zhang Y, Xiang T, et al. Surgical treatment of selected patients with multilevel contiguous thoracolumbar spinal tuberculosis by only posterior instrumentation without any bone fusion. Int J Clin Exp Med. 2015 Oct 15;8(10):18611-9.
Gao Y, Ou Y, Deng Q, He B, Du X, Li J. Comparison between titanium mesh and autogenous iliac bone graft to restore vertebral height through posterior approach for the treatment of thoracic and lumbar spinal tuberculosis. PLoS ONE 2017; 12(4): e0175567. DOI: https://doi. org/10.1371/journal.pone.0175567
Cui X, Li LT, Ma YZ. Anterior and Posterior Instrumentation with Different Debridement and Grafting Procedures for Multi-Level Contiguous Thoracic Spinal Tuberculosis. Orthop Surg. 2016 Nov;8(4):454-461. DOI: https://doi.org/10.1111/os.12288.
Wu W, Lyu J, Liu X, Luo F, Hou T, Zhou Q. Surgical Treatment of Thoracic Spinal Tuberculosis: A Multicenter Retrospective Study. World Neurosurg. 2018 Feb;110:e842-e850. DOI: https://doi.org/10.1016/j. wneu.2017.11.126.
Fisahn C, Alonso F, Hasan GA, Tubbs RS, Dettori JR, Schildhauer TA, Rustagi T. Trends in Spinal Surgery for Pott’s Disease (2000-2016): An Overview and Bibliometric Study. Global Spine J. 2017 Dec;7(8):821- 828. DOI: https://doi.org/10.1177/2192568217735827.
Lin B, Dai LL, Chen ZD, Zheng Y. Comparision of clinical effects between one-stage anterior and posterior approach in treating thoracolumbar tuberculosis with debridement and internal fixation. Zhongguo Gu Shang. 2017 Sep 25;30(9):792-798. DOI: https://doi. org/10.3969/j.issn.1003-0034.2017.09.003.
Narayan V, Mohammed N, Savardekar AR, Patra DP, Nanda A. Tuberculous Spondylolisthesis: A Reappraisal of the Clinicoradiologic Spectrum and Surgical Treatment Paradigm. World Neurosurg. 2018 Jun;114:361-367. DOI: https://doi.org/10.1016/j.wneu.2018.02.157.