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KMID : 0361619700050010017
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Journal of the Korean Orthopaedic Association
1970 Volume.5 No. 1 p.17 ~ p.20
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Sprengel´s Deformity
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Abstract
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Five cases of the spinal tuberculosis with severe kyphosis and paraplegia were treated with radical surgery at the Department of Orthopedic Surgery, Seoul National University Hospital. All the cases were involved at the thoracic spine and kyphosis were ranged 1-00 through 150 degrees. Severe fixed
chest deformity and impaired pulmonary function were observed.
By thoracotomy, aorta was seen to be adherent to the surrounding tissue and this was separated from the verterbral lesion with meticulous procedure. The focus was curetted radically exposing .spinal cord which was decompressed with anterior transposition. Then the spine was stabilized with
anterior interbody fusion.
Postoperativeintensive pulmonary care and antituberculous therapy are imperative for the good result. Spinal tuberculosis with severe kyphosis and paraplegia could be benefited with the radical surgery by the experienced surgeon..
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