Tuberculosis of the spine  

作　　者：Wattana Leowattana Pathomthep Leowattana Tawithep Leowattana 

机构地区：[1]Department of Clinical Tropical Medicine,Faculty of Tropical Medicine,Mahidol University,Rachatawee 10400,Bangkok,Thailand [2]Department of Medicine,Faculty of Medicine,Srinakarinwirot University,Wattana 10110,Bangkok,Thailand

出　　处：《World Journal of Orthopedics》2023年第5期275-293,共19页世界骨科杂志（英文版）

摘　　要：Pott’s spine,commonly known as spinal tuberculosis(TB),is an extrapulmonary form of TB caused by Mycobacterium TB.Pott’s paraplegia occurs when the spine is involved.Spinal TB is usually caused by the hematogenous spread of infection from a central focus,which can be in the lungs or another location.Spinal TB is distinguished by intervertebral disc involvement caused by the same segmental arterial supply,which can result in severe morbidity even after years of approved therapy.Neurological impairments and spine deformities are caused by progressive damage to the anterior vertebral body.The clinical,radiographic,microbiological,and histological data are used to make the diagnosis of spinal TB.In Pott’s spine,combination multidrug antitubercular therapy is the basis of treatment.The recent appearance of multidrug-resistant/extremely drug-resistant TB and the growth of human immunodeficiency virus infection have presented significant challenges in the battle against TB infection.Patients who come with significant kyphosis or neurological impairments are the only ones who require surgical care.Debride-ment,fusion stabilization,and correction of spinal deformity are the cornerstones of surgical treatment.Clinical results for the treatment of spinal TB are generally quite good with adequate and prompt care.

关 键 词：TUBERCULOSIS Pott’s disease Spinal tuberculosis KYPHOSIS Medical treatment of spinal tuberculosis Surgical treatment of spinal tuberculosis Drugs resistance 

分 类 号：R529.2[医药卫生—内科学]