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Transthoracic approach for Pott's disease

, : Transthoracic approach for Pott's disease. Annals of Thoracic Surgery 21(6): 552-556

Spinal tuberculosis with paraplegia, although decreasing in incidence, remains a problem in certain sections of the United States and in most underdeveloped nations. Evacuations of the tuberculous abscess, debridement of necrotic bone, and fusion of the anterior spine are maneuvers performed increasingly by thoracic surgeons. Twenty-two patients with Pott's disease and symptoms of back pain, gibbous deformity, and neurological deficit underwent thoracotomy. Nine were paraplegic prior to operation. Postoperatively, spinal fusion occurred in all cases. All paraplegic patients can walk now, and 17 of the 22 treated operatively have been completely rehabilitated and are in school or working. The average hospital stay was 2.4 months. There was 1 operative death. Medical treatment for Pott's disease consisted of bed rest and chemotherapy and resulted in progressive neurological deficit in 2 patients with an average hospital stay of 2.2 years. We believe operative treatment offers two distinct advantages: excellent reversal of even long-standing paraplegia and markedly shortened hospital stay.


PMID: 776109

Other references

Luft, A.R.; Skalej, M.; Grunert, T.; Drews, U., 1996: A model for storage and retrieval of theoretical medical knowledge. A database model for structure and access of theoretical medical knowledge is presented. The basic principle is the organization of knowledge in three dimensions: Each topic--first dimension--is explained with media--second dimension--in different...

Balon, R., 2016: The madness of medical marijuana and marijuana legalization. Annals of Clinical Psychiatry 28(4): 229-230

Krylov A.A., 1991: Methods for improving medical assistance to patients with internal diseases in a city. Klinicheskaya Meditsina (Moscow) 69(9): 103-105

Gottfries, C.G., 1992: Alzheimer's disease. Review of treatment strategies. Acta Neurologica Scandinavica. Supplementum 139: 63-68

Sirois, J.; Côté, J-François.; Charest, A.; Uetani, N.; Bourdeau, A.; Duncan, S.A.; Daniels, E.; Tremblay, M.L., 2006: Essential function of PTP-PEST during mouse embryonic vascularization, mesenchyme formation, neurogenesis and early liver development. PTP (protein-tyrosine phosphatase)-PEST is a ubiquitously expressed cellular regulator of integrin signalling. It has been shown to bind several molecules such as Shc, paxillin and Grb2, that are involved downstream of FAK (focal adhesion kinase)...

Romhanyi, G.; Deak, G., 1967: The submicroscopic structure of collagen fibres as revealed by topooptical staining reactions with cationic dyes. The topooptical staining reactions of human skin and Achilles tendon collagen fibers were studied by polarization optical means. Collagen fibers in frozen sections of formol-fixed material bind toluidine blue molecules in an axiparallel oriented p...

Pum, J.K., 2001: A new software program to automate statistical analysis of method validation data in the clinical laboratory. Clinical Chemistry 47(S6): A112, June

Semprini, P., 1962: Some observations on the fat distribution in the sides of Large White pigs reared under uniform environmental conditions.. In 2 groups of spayed Large White of approx. 100 kg. live weight at slaughter, the correlations between backfat thickness and percentage of fat cuts (cheek, neck, belly, baekfat and lard) were 0.68+or-0.034 and 0.15+or-0.06 resp. In one group of c...

Klinger, F., 1954: Contribution to experiences with Zajicek's treatment with hormone ointment prepared from fresh glands as adjuvant in physical therapy. Archiv für Physikalische Therapie 6(6): 448-450

Ben Arie, A.; McNally, L.; Kapp, D.S.; Teng, N.N.H., 2014: The omentum and omentectomy in epithelial ovarian cancer: a reappraisal. Part I--Omental function and history of omentectomy. This article reviews the literature concerning the function of the omentum and how omentectomy came to be part of the staging and treatment of epithelial ovarian cancer. A review of the English language literature based on a MEDLINE (PubMed) datab...