Farage Luciano, Martins Johnny Wesley Gonçalves, Farage Filho Miguel
Serviço de Neurocirurgia, Hospital Santa Lúcia, Brasília, DF, Brasil.
Arq Neuropsiquiatr. 2002 Mar;60(1):142-4. doi: 10.1590/s0004-282x2002000100026.
We report a case of a surgical treatment with anterior instrumentation in tuberculous spondylitis (Pott's disease), in a 71 years old woman, that was in treatment for pulmonary tuberculosis, with lumbar pain, progressive disability to walk, kyphotic deformity and vesical dysfunction. Magnetic resonance image presents a lesion in the bodies of T12 and L1, with paravertebral abscess. The patient was treated surgically by transthoracic-abdominal approach. The vertebral bodies were cut off and the spine were instrumented anteriorly with a mesh cage and a Z plate. This procedure permits a good arthrodesis and a immediately stabilization of the spine, without any complication of the infection. The patient was seen a year after the surgery and is free of infection, without motor deficit, pain or reminiscent kyphosis.
我们报告了一例71岁患有肺结核且正在接受治疗的女性结核性脊柱炎（波特氏病）患者接受前路内固定手术治疗的病例。该患者伴有腰痛、进行性行走障碍、脊柱后凸畸形及膀胱功能障碍。磁共振成像显示胸12和腰1椎体有病变，并伴有椎旁脓肿。患者通过经胸-腹联合入路接受了手术治疗。切除了椎体，并在前路用网笼和Z形钢板对脊柱进行了内固定。该手术实现了良好的关节融合和脊柱的即刻稳定，且未出现任何感染并发症。术后一年对患者进行复查，结果显示无感染迹象，无运动功能障碍、疼痛或残留脊柱后凸畸形。
