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Radiographic evaluation of sagital kyphosis in spinal tuberculosis

OBJECTIVE: to evaluate the radiographic outcomes of patients treated for spinal tuberculosis. METHODS: the charts of patients of the Spine Surgery attended at the Santa Casa de Misericórdia de São Paulo were reviewed. The kyphotic deformities were measured by Cobb's method. RESULTS: of the 123 patients, 33 (68. 8%) were treated conservatively, 17 (51%) were male and 16 (48.8%) were female. Age ranged from 3 to 87 with a mean of 44.1 years. We noticed the increase of local kyphosis in 20 patients (60.6%) and segmental kyphosis in 23 (69.6%), with the worst prognosis of progression at the thoracolumbar (11.3%), with a statistically significant difference (p <0.05). CONCLUSION: the empirical therapy based on clinical diagnosis radiological showed good radiographic findings in this series of cases treated conservatively.

Discitis; Tuberculosis; spinal; kyphosis; Antitubercular agents; Spinal diseases; Therapeutic; Computed tomography, x-ray; Magnetic resonance imaging


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