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Published on: October 25, 2024
Tuberculosis of lower cervical spine--a prospective study
M M Prabhakar1, Tejas H Thakker, Bhavin Jadav
1Department of Orthopaedics, BJ Medical College and Civil Hospital, Ahmedabad.
Journal of the Indian Medical Association
|March 15, 2008
Summary
Tuberculosis of the spine, a historical disease, affects the lower cervical spine, commonly at C5-C6. Treatment combining drugs, surgery, and grafting effectively resolves pain and neurological deficits.
Area of Science:
- Orthopedics
- Infectious Diseases
- Spinal Surgery
Background:
- Tuberculosis (TB) historically caused significant mortality.
- Spinal tuberculosis is an ancient and persistent human ailment.
- The lower cervical spine is a potential site for spinal TB.
Purpose of the Study:
- To describe the clinical features of lower cervical spine tuberculosis.
- To evaluate the incidence of associated cord compression.
- To report on the efficacy of a combined treatment regimen.
Main Methods:
- A prospective study was conducted on 45 patients with lower cervical spine TB.
- Clinical presentations, affected vertebral levels, and cord compression rates were documented.
- Treatment involved antituberculous drugs, anterior excision of diseased bone, and tricortical bone grafting.
Main Results:
- Pain and stiffness were the predominant symptoms.
- The C5-C6 vertebral level was most frequently affected.
- Cord compression occurred in 37.8% of cases.
Conclusions:
- Lower cervical spine tuberculosis presents with significant pain and stiffness.
- A treatment regimen of antituberculous drugs, anterior excision, and bone grafting rapidly alleviates symptoms.
- This approach effectively manages pain, respiratory compromise from abscesses, and neurological deficits.
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