History of spine surgery for tuberculous spondylodiscitis.
For those stricken with tuberculosis, a disease that was present in ancient times, treatment was originally limited to conservative treatment including high altitude, fresh air, rest, and immobilization, manual reduction devices, and surgical procedures. Mortality and morbidity were high until the advent of antitubercular chemotherapy in the 1940s. Today multidrug regimen enable good disease clearance and also make direct surgical debridement without complications possible. Antitubercular drugs have reduced mortality by 72.5%. Surgical intervention is reserved for selected situations.
Department of Orthopaedics, Traumatology and Spine Surgery, Ganga Hospital, 313, Mettupalayam road, 641043, Coimbatore, India. sr@gangahospital.com.
S
S
Rajasekaran
Department of Orthopaedics, Traumatology and Spine Surgery, Ganga Hospital, 313, Mettupalayam road, 641043, Coimbatore, India.
R M
RM
Kanna
Department of Orthopaedics, Traumatology and Spine Surgery, Ganga Hospital, 313, Mettupalayam road, 641043, Coimbatore, India.
A P
AP
Shetty
D015299:Discitis / Q000266:history* / Q000601:surgery*; D049668:History, 15th Century; D049669:History, 16th Century; D049670:History, 17th Century; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D049690:History, Ancient; D049691:History, Medieval; D006801:Humans; D019637:Orthopedic Procedures / Q000266:history*; D009985:Orthopedics / Q000266:history*; D014399:Tuberculosis, Spinal / Q000266:history* / Q000601:surgery*
Antitubercular agents; Chemotherapy; Mycobacterium tuberculosis; Surgical procedures, operative; Tuberculosis