Agrawal Vinod, Patgaonkar P R, Nagariya S P
Department of Orthopaedics, Lilavati Hospital and Research Centre, Mumbai, India.
J Craniovertebr Junction Spine. 2010 Jul;1(2):74-85. doi: 10.4103/0974-8237.77671.
Tuberculosis of the spine is one of the most common spine pathology in India. Over last 4 decades a lot has changed in the diagnosis, medical treatment and surgical procedures to treat this disorder. Further developments in diagnosis using molecular genetic techniques, more effective antibiotics and more aggressive surgical protocols have become essential with emergence of multidrug resistant TB. Surgical procedures such as single stage anterior and posterior stabilization, extrapleral dorsal spine anterior stabilization and endoscopic thoracoscopic surgeries have reduced the mortality and morbidity of the surgical procedures. is rapidly progressing. It is a challenge to treat MDR-TB Spine with late onset paraplegia and progressive deformity. Physicians must treat tuberculosis of spine on the basis of Culture and sensitivity.
脊柱结核是印度最常见的脊柱疾病之一。在过去40年里，这种疾病在诊断、药物治疗和外科手术方面发生了很大变化。随着耐多药结核病的出现，利用分子遗传学技术进行诊断、使用更有效的抗生素以及采用更积极的手术方案变得至关重要。诸如一期前后路固定、胸膜外后路脊柱前路固定和胸腔镜手术等外科手术降低了手术的死亡率和发病率。病情正在迅速发展。治疗伴有迟发性截瘫和进行性畸形的耐多药脊柱结核是一项挑战。医生必须根据培养和药敏结果来治疗脊柱结核。
