Department of Orthopaedics, Trauma Surgery and Plastic Surgery, University of Leipzig Medical Faculty, Leipzig, Germany.
Department of Oncology, Gastroenterology, Hepatology, Respiratory Medicine, Infectiology, Infectious Disease and Tropical Medicine Section, University of Leipzig Medical Faculty, Leipzig, Germany.
Z Orthop Unfall. 2022 Feb;160(1):74-83. doi: 10.1055/a-1285-4994. Epub 2021 Jan 21.
Tuberculosis is one of the most common infectious diseases worldwide. The frequency in Germany is low, however, an increase has been observed in the past few years. The incidence of extrapulmonary manifestation accounts for up to 10 to 20%. In 50% of these cases the spinal column is affected. Although literature reveals worldwide experiences in the treatment, in Germany spinal tuberculosis remains a rarity. Different pitfalls and specific characteristics regarding diagnosis and therapy are to consider. Therefore, a presentation of these specifics and their discussion based on the available literature will be presented. The purpose is to achieve an increase in awareness regarding this, in our latitudes, rare disease.
结核病是全球最常见的传染病之一。在德国,其发病率较低,但近年来呈上升趋势。肺外表现的发病率占 10%至 20%。在这些病例中,有 50%的脊柱受到影响。尽管文献中记载了全球范围内的治疗经验,但德国的脊柱结核仍然较为罕见。在诊断和治疗方面,需要考虑不同的陷阱和特定特征。因此,本文将根据现有文献介绍这些具体情况并进行讨论。目的是提高对这种在我们所处纬度较为罕见疾病的认识。