title: The radical treatment of tuberculosis of the spine.
abstract: The technique of radical treatment of tuberculosis of the spine at various levels is described. Eighty cases out of 158 of spinal caries underwent radical surgery over a period of 7 years. Caseous pus, sequestra, granulation tissue and discs were excised. Rib grafts were used in the dorsal spine and iliac strut grafts in the cervical and lumbar spine, through a direct anterior approach. Sound bony fusion was achieved in 90% of cases. The procedure is technically difficult but recovery is fast and the majority were fit to resume work within 6 months.
mesh_terms: D000038:Abscess / Q000601:surgery; D000328:Adult; D002574:Cervical Vertebrae; D002648:Child; D005260:Female; D006801:Humans; D007403:Intervertebral Disc / Q000601:surgery; D007431:Intraoperative Complications / Q000628:therapy; D008159:Lumbar Vertebrae; D008297:Male; D010243:Paralysis / Q000601:surgery; D011183:Postoperative Complications / Q000628:therapy; D013123:Spinal Fusion / Q000379:methods; D013904:Thoracic Vertebrae; D014399:Tuberculosis, Spinal / Q000601:surgery*