[Anterior instrumentation of spine in tuberculous spondylitis: Pott's disease: case report].
We report a case of a surgical treatment with anterior instrumentation in tuberculous spondylitis (Pott's disease), in a 71 years old woman, that was in treatment for pulmonary tuberculosis, with lumbar pain, progressive disability to walk, kyphotic deformity and vesical dysfunction. Magnetic resonance image presents a lesion in the bodies of T12 and L1, with paravertebral abscess. The patient was treated surgically by transthoracic-abdominal approach. The vertebral bodies were cut off and the spine were instrumented anteriorly with a mesh cage and a Z plate. This procedure permits a good arthrodesis and a immediately stabilization of the spine, without any complication of the infection. The patient was seen a year after the surgery and is free of infection, without motor deficit, pain or reminiscent kyphosis.
Farage
Luciano
L
Serviço de Neurocirurgia, Hospital Santa Lúcia, Brasília, DF, Brasil. lucianofarage@bigfoot.com
Martins
Johnny Wesley Gonçalves
JW
Farage Filho
Miguel
M
D000368:Aged; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D014399:Tuberculosis, Spinal / Q000175:diagnosis / Q000601:surgery*