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العنوان
Tuberculous Spondylodiscitis
A systematic Review of Literature /
المؤلف
Attia,Mohamed Abdel Rahman
هيئة الاعداد
باحث / محمد عبد الرحمن عطيه
مشرف / ناصر حسين زاهر
مشرف / محمد فوزى خطاب
تاريخ النشر
2017
عدد الصفحات
71.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة عين شمس - كلية الطب - Orthopedic Surgery
الفهرس
Only 14 pages are availabe for public view

from 71

from 71

Abstract

Drug resistant tuberculosis results from previous irregular chemotherapy, patient noncompliance and spread of drug resistant strains. Treatment with individualized chemotherapy according to susceptibility testing and surgery give the best results.
Spinal tuberculosis in children is usually associated with bone loss and disturbed growth even if treated surgically. Antituberculosis chemotherapy in children is strictly used according to bodyweight. Surgical treatment is indicated in case of neurological complications, progressive deformity or spinal instability.
In our systematic review, we used literatures discussing results of anterior and posterior approaches to compare between both approaches as regard effectiveness and safety. The results include preoperative and postoperative kyphotic angle and the final kyphotic angle at the last follow up, blood loss, operative time, preoperative neurological deficits and neurological recovery after surgery and lastly the recorded complications. we concluded that both anterior and posterior approaches are effective and safe for surgical treatment of spinal tuberculosis and the choice for suitable approach depend on location of TB lesion within the vertebral column, site of the lesion within the vertebra, number of levels involved, chest condition of the patient, presence and size of paraspinal abscess.
Key words: Polymerase Chain Reaction - Standard Deviation- Tuberculosis- Tuberculin Skin Test