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Updated: Jul 11, 2026
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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
[Treatment policy for craniovertebral spondylitis]
Problemy Tuberkuleza I Boleznei Legkikh
|October 6, 2007
Summary
Surgical treatment for atlantoaxial spondylitis, including tuberculous and nonspecific cases, effectively resolved neurological symptoms and restored cervical spine support through decompressive and stabilizing operations. This approach led to bony ankylosis in all patients, ensuring positive outcomes.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Infectious Disease Management
Background:
- Atlantoaxial spondylitis presents significant challenges due to potential neurological compromise.
- Surgical intervention is often necessary for severe cases involving dislocation and neurological deficits.
Observation:
- This study evaluated 25 patients with atlantoaxial spondylitis (15 tuberculous, 10 nonspecific).
- Severe neurological disorders necessitated interventions like skeletal traction or halo-apparatus in some patients.
- Patients were classified into three groups based on P. Denis concept for craniovertebral region changes.
Findings:
- A two-stage surgical approach involving occipitospondylodesis and transoral sanitation with anterior stabilization was employed.
- Postoperative management included cervical spine immobilization for 3-5 months and 6-9 months of antituberculous therapy.
- All patients demonstrated positive results, with abolished neurological symptoms and achieved bony ankylosis.
Implications:
- The described surgical protocol offers a viable solution for craniovertebral spondylitis, restoring cervical spine function.
- This treatment strategy effectively manages both tuberculous and nonspecific etiologies of atlantoaxial spondylitis.
- Achieving bony ankylosis is crucial for long-term stability and support of the cervical spine.
