Slater R R, Beale R W, Bullitt E
Department of Surgery, University of North Carolina, Chapel Hill.
South Med J. 1991 Apr;84(4):521-3. doi: 10.1097/00007611-199104000-00032.
Tuberculosis of the cervical spine is relatively rare, and the diagnosis is often delayed. Roentgenograms and computerized tomography of the cervical spine can provide important diagnostic clues. Chemotherapy is the mainstay of treatment, but when neurologic deficits are present the best treatment is debridement and anterior spinal fusion combined with antituberculous chemotherapy. The incidence of tuberculosis is increasing in parallel with the growing numbers of immunocompromised patients. Awareness of the manifestations of cervical Pott's disease may lead to earlier diagnosis and treatment of affected patients.
颈椎结核相对少见，诊断往往延迟。颈椎X线片和计算机断层扫描可提供重要的诊断线索。化疗是主要的治疗方法，但当出现神经功能缺损时，最佳治疗方法是清创术、前路脊柱融合术并联合抗结核化疗。随着免疫功能低下患者数量的增加，结核病的发病率也在上升。认识到颈椎结核的表现可能会使受影响患者得到更早的诊断和治疗。
