Faghihi Shirazi F, Navab A, Lotei J, Motamedi M
Acta Med Iran. 1977;20(3-4):93-104.
14 cases of Pott's disease of the spinal column treated by surgery is described. The operation was performed by an anterior approach and evacuation of abscess, removal of granulation tissue, seguesterated bone and disc material achieved. Any mechanical compression by bony ridges, dense fibrotic tissue or fibrotic posterior longitudinal ligament was removed making it possible for anti TB treatment to have full effect. Stability of the spine was achieved by means of anterior bone grafts which accelerated bony fusion and eradication of the disease. It is stressed that this type of radical surgery in Pott's allows for histological diagnosis, corrects the deformity thus preventing future cardio-respiratory complications, prevents paraplegia of late onset, and shortens the duration of hospital stay allowing the patient to return to his previous occupation.
本文描述了14例采用手术治疗的脊柱结核病例。手术采用前路入路，进行脓肿引流、清除肉芽组织、死骨和椎间盘组织。去除骨嵴、致密纤维化组织或纤维化后纵韧带造成的任何机械性压迫，使抗结核治疗能够充分发挥作用。通过前路植骨实现脊柱稳定性，加速骨融合并根除疾病。强调这种脊柱结核根治性手术可进行组织学诊断，纠正畸形从而预防未来心肺并发症，防止迟发性截瘫，并缩短住院时间，使患者能够恢复原工作。
