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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282XOn-line version ISSN 1678-4227

Abstract

FARAGE, Luciano; MARTINS, Johnny Wesley Gonçalves  and  FARAGE FILHO, Miguel. Anterior instrumentation in tuberculous spondylitis (Pott's disease): case report. Arq. Neuro-Psiquiatr. [online]. 2002, vol.60, n.1, pp.142-144. ISSN 0004-282X.  https://doi.org/10.1590/S0004-282X2002000100026.

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 deformit 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.

Keywords : Pott's disease; surgical treatment; anterior instrumentation.

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