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KMID : 0361619670020030029
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Journal of the Korean Orthopaedic Association
1967 Volume.2 No. 3 p.29 ~ p.42
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Clinical observation and Follow-up Study on 226 Cases of Tuberculous Spondylitis
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金學賢/Park, Jin-Ha
魯明德/金仁/朴辰河/Kim, In/Rho, Myung-Deuk/Kim, Hak-Hyun
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Abstract
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Clinical observation on 226 cases of the tuberculous spondylitis who were admitted to the Department of St. Mary´s Hospital during 6 years from Jan, 1961 to Dec, 1966 was made, of whom 108 cases was able to be followed by radiologically, and another 87 cases only oy communic as&n.
50% of them were under 10 years of age; and male was more frequently affected by the ratio of 1.15 to 1. 48% of the lesion was found at the lumbar spine and the most frequent site.
Posterior spinal fusion was performed in 156 cases, while anterior approach in 83 cases; it the former, 124 cases were with homogenous bone the other 32 cases were with autogenous bone. In ther latter, 26 cases were with homogenous bone, while the other 33 cases were with autogenous bone, and 24 cases curettage only.
The combination and duration of the post operative antituberculous agents influenced the healing process and, in some cases unsatisfactory result caused by misunderstanding of the method of the method medication
The followed-up results were as followed by written communication.
Better in 83.9%; None the better in 10.3%;
Worse in 2.3%; Dead in 3.4
The anterior inter-body fusion with autogenous bone showed not much better results than the posterior spinal fusion, though in the former the healing process seems more rapid. Of 108 cases who were able to be followed by radiologically, 57 cases were done with posterior spinal fusion, and 51 cases with anterior interbody fusion. In the former 84.2% showed excellent results of bony fusion, and in the latter 88.2% showed the same.
The postoperative prognosis largely depends on the effective antituberculous medication and economic conditions rather than on the operatives technic.
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