Dunn R N, Ben Husien M
University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa.
Bone Joint J. 2018 Apr 1;100-B(4):425-431. doi: 10.1302/0301-620X.100B4.BJJ-2017-1040.R1.
Tuberculosis (TB) remains endemic in many parts of the developing world and is increasingly seen in the developed world due to migration. A total of 1.3 million people die annually from the disease. Spinal TB is the most common musculoskeletal manifestation, affecting about 1 to 2% of all cases of TB. The coexistence of HIV, which is endemic in some regions, adds to the burden and the complexity of management. This review discusses the epidemiology, clinical presentation, diagnosis, impact of HIV and both the medical and surgical options in the management of spinal TB. Cite this article: Bone Joint J 2018;100-B:425-31.
结核病在发展中世界的许多地区仍然流行，并且由于移民，在发达世界也越来越常见。每年共有130万人死于这种疾病。脊柱结核是最常见的肌肉骨骼表现形式，约占所有结核病病例的1%至2%。在一些地区流行的艾滋病毒的共存增加了管理的负担和复杂性。本综述讨论了脊柱结核的流行病学、临床表现、诊断、艾滋病毒的影响以及管理中的医学和外科选择。引用本文：《骨与关节杂志》2018年；100 - B：425 - 31。
