Munzinger B
Z Orthop Ihre Grenzgeb. 1977 Feb;115(1):26-34.
Between October 1968-1973, 16 rachitomies were carried out in 14 patients at the Univ. of Orthop. Hospital Balgrist in Zurich. The casuistic indicates the necessity for diagnostic surgery, particularly because tuberculous spondylitis cannot be differentiated radiologically from other nonspecific processes. Rachitomy together with histologic and bacteriologic examinations of precisely removed specimens makes a dependable diagnosis possible and permits therapeutic accommodation of the procedures to the individual case as 15 out of 16 of our cases indicate. The direct therapeutic possibilities and the diagnostic accuracy document, in our opinion, the superiority of rachitomy over exploratory puncture. Following-up control examinations up to four years following the operation confirm the success of surgery as evaluated by the subjective freedom of complaints and satisfactory results.
1968年10月至1973年期间，苏黎世巴尔格里斯特大学骨科医院对14名患者实施了16次脊椎切除术。这些病例表明有必要进行诊断性手术，特别是因为结核性脊柱炎在放射学上无法与其他非特异性病变相鉴别。脊椎切除术结合对精确切除标本的组织学和细菌学检查，使可靠的诊断成为可能，并能根据个体情况进行治疗调整，正如我们16例病例中的15例所示。我们认为，直接的治疗可能性和诊断准确性证明了脊椎切除术优于探查性穿刺。术后长达四年的随访检查证实了手术的成功，这通过主观症状缓解和令人满意的结果得以评估。
