Supplementum 3+4/2007 - Společnost pro pojivové tkáně

ar spine (6). MRI showed evident collapse
of the vertebrae because of tuberculous
destruction and paravertebral abscess.
Neurological deficits were found in 6 patients.
One case was graded B, two cases
were graded C, and three cases were graded
D according to Frankel classification.
Technique
Before surgery, patients received standard
anti-tuberculosis chemotherapy for 2
to 3 weeks. Retroperitoneal or extrapleural
approach was chosen according to the
tuberculosis lesion segment. Anterior radical
debridement, iliac or rib autografting
and anterior plating was used
Postoperative management
Anti-tuberculosis chemotherapy was
continued for at least 9 months, and the
patients were supported with thoracolumbosacral
orthosis for 6 months after surgery.
All patients were followed up for an
average of 18 months. On each assessment,
data related to drug regimen and its side
effects if any, abscess or sinus formation,
improvement of back pain and tenderness
were recorded.
Postoperative neurological assessment
was reported and compared with the preoperative
state The activity of the disease
was assisted by ESR at monthly intervals
for the first 3 months, then once every
3 months during the first year, and every
6 months until the final follow up.
Anteroposterior and lateral radiographs
of the spine were obtained each visit
Figure 3. Follow up X-rays 6 months after surgery
300 The 9 th Prague-Sydney-Lublin Symposium