The Importance of Direct Surgical Attack Upon Lesions of the Vertebral Bodies, Particularly in Pottʼs Disease

Johnson, Robert W.; Hillman, John W.; Southwick, Wayne O.

doi:10.2106/00004623-195335010-00003

Cited by 15 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Together with its method of cure', resulting in the condition bearing the eponym Pott's disease. 1 It was not until 1882, that the tubercle bacillus was discovered by Robert Koch who continued his work on TB earning him the Nobel prize in 1905. 2 With the instigation of public health measures, there was a steady decline in reported cases in TB throughout the early 1900s; however, it was not until 1943 that Schatz and Waksman discovered Streptomycin, forming the backbone of initial antituberculous chemotherapeutic regimens, with subsequent treatments being developed over the latter half of the 1900s.…”

Section: Introductionmentioning

confidence: 99%

Tuberculous paraspinal abscess: a case of mistaken identity

Crooks

Hill

2011

Scott Med J

View full text Add to dashboard Cite

We present the case of a 35-year-old man of Pakistani origin presenting with a history suggestive of tuberculosis. Chest x-ray revealed left upper zone consolidation and mediastinal widening felt to be consistent with mediastinal lymphadenopathy. Bronchoalveolar lavage failed to yield acid-fast bacilli (AFB) and therefore CT thorax was requested with a view to surgical referral for mediastinal node biopsy. CT thorax revealed a large paravertebral abscess to be the cause of apparent mediastinal widening. CT guided biopsy confirmed Mycobacterium tuberculosis on culture. On reflection, there was preservation of the right paratracheal stripe on chest x-ray indicating that this was not mediastinal lymphadenopathy but a paravertebral mass as illustrated on CT.

show abstract

Section: Introductionmentioning

confidence: 99%

Tuberculous paraspinal abscess: a case of mistaken identity

Crooks

Hill

2011

Scott Med J

View full text Add to dashboard Cite

show abstract

“…only a few studies of the therapeutic results have been published JOHNSON et al (1953). reported 78 cases of spondylitis treated by operation without any deaths.…”

mentioning

confidence: 99%

Radical Operation in Tuberculosis of the Spine

Felländer

1955

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

Pre-and post-operative orthopaedic treatment Chemotherapy 19 Chapter 4. Studies on the concentration of streptomycin Chapter 5. Pathology and pathogenesis Chapter ti. Bacteriologic examinations 38 Culture of the tubercle bacillus and guinea pig inoculation Resistance to streptomycin Routine culture Chapter 7. Exploratory operations Chapter 8. Therapeutic results Survey of the literature Results in the present series Follow-up investigation Clinical results and definitions Radiographic results and definitions 55 Influence of different factors on the results Complications 66 Recurrence 67 Length of treatment Interval between operation and resumption of work 68 Deaths 69 Chapter 9. Case Reports 71 Chapter 10. Discussion and conclusions 89 Summary 98 Rdsume 102 Zusammenfassung 107 Acknowledgements HI References 112 produced from os purum (bone freed from connective tissue, protein and fat) which for some time has been implanted subperiosteally on the tibia. Direct operations into the tuberculous spine lesion were reported as early as in the 1880's. MENARD'S monograph (1900) contained detailed accounts of these early radical operations at which large incisions were made into the abscesses, the abscess capsules were excised and tuberculous granulation tissue was scraped out. CHIPAULT compiled the results of these operations by various workers. MENARD, however, considered that the therapeutic results were so poor that he preferred a method of his own by which he punctured the abscesses and injected some caustic agent. He tried the operative treatment himself but found that it was justified only when the injection therapy failed or when the abscesses threatened to perforate. The operations mentioned here were performed in uncomplicated cases of spon dylitis with closed lesions. In cases complicated by paraplegia decompression laminectomy was performed by MAYER as early as 1846 (the patient died 21 days after opera tion), and by OLLIER, 1882 (the patient survived and the paraplegia sub sided). The subsequent results of laminectomy were discouraging, and MENARD asserted that by laminectomy the posterior intact support, the arch, is removed while the anterior one, the vertebral body, is already destroyed. His .studies of autopsy cases showed that the compression occurs in front of the spinal cord and that in many cases the posterior arch has no contact at all with the compressed spinal cord. SCHMIEDEN advised against operation by summarizing: "Es darf heute als ein Wagnis bezeichnet werden, noch viel von operativer Therapie der Spondylitis zu sprechen, nachdem BERNARD und ROLLIER glanzende Erfolge mit der geduldigen konservativen khmatischen Behandlung der chirurgischen Tuberkulose erzielt haben." SCHMIEDEN also advised against lamin ectomy in paraplegia for the same reasons as MENARD. The record com prised 251 patients subjected to laminectomy, of whom 74 died. In 1934 the Japanese worker fro et al. reported 10 cases of radical opera tion, in thoracic spine involvement using costotransversectomy, in lumbar involvement extr...

show abstract

Extrapharyngeal (anterolateral) approach to the cervical spine

Komisar

Tabaddor

1983

Head Neck

View full text Add to dashboard Cite

The extrapharyngeal approach to the anterior cervical spine is a safe, rapid surgical exposure. Other surgical exposures such as the posterior, lateral, and intraoral (transpharyngeal) have inherent limitations that this approach avoids. By going anterior to the sternocleidomastoid muscle and great vessels, the surgical exposure of the anterior cervical spine is wide and the vital structures of the neck are visualized and not injured. We have used this extrapharyngeal approach to treat various disease states of the anterior cervical spine, such as trauma, osteomyelitis, neoplasia, and degenerative disease. Major complications have been neural injury, and pharyngeal fistula.

show abstract

The Importance of Direct Surgical Attack Upon Lesions of the Vertebral Bodies, Particularly in Pottʼs Disease

Cited by 15 publications

References 0 publications

Tuberculous paraspinal abscess: a case of mistaken identity

Tuberculous paraspinal abscess: a case of mistaken identity

Radical Operation in Tuberculosis of the Spine

Extrapharyngeal (anterolateral) approach to the cervical spine

Contact Info

Product

Resources

About