Arumugasamy N, Pyn C C, Keng K K
Surg Neurol. 1977 Jul;8(1):35-40.
Four cases of tuberculosis of the cervical spine with quadriparesis either from subluxation, and/or compression of the spinal cord are described. Our surgical approach has been laminectomy with excision of abscess and cervical fusion. Pre and post operative cervical traction with Crutchfield tongs on Stryker beds was employed in three of the four cases. Excision of these abscesses and cervical fusion, following improvement of the nutritional status and adjunctive chemotherapy, can reverse paralysis in these patients. Three of our four patients recovered.
本文描述了4例因颈椎半脱位和/或脊髓受压导致四肢瘫痪的颈椎结核病例。我们的手术方法是椎板切除术加脓肿切除及颈椎融合术。4例中有3例在Stryker床上使用Crutchfield钳进行术前和术后颈椎牵引。在营养状况改善及辅助化疗后，切除这些脓肿并进行颈椎融合术可使这些患者的瘫痪症状得到逆转。我们的4例患者中有3例康复。
