Currently only left problem in bone and joint tuberculosis in the developed country is the correction of: deformed sequels through the improved epidemiology, the developed an￢ti-tbc, agents, and the advanced operative technique.
However, we frequently have found many active spinal tuberculosis in our clinics.
So we analyzed 35 cases of spinal tuberculosis who had been treated by operative or
conservative method at our department during 2.6 years from Jan. 1974 to June 1976. The following observations were made;
1. The spine was involved most frequently in the bone and joint tuberculosis (54.7%), hip was in 11cases(17.2), and knee, in 8(12. 5).
2. Common age incidence was in below 39 years(82. 8%) and most common in between 20-29 years(34. 3%). The sex incidence was 18 in male and 17 in female.
3. Lower thoracic and lumbar were mostly involved i. e. thoracic (37.1%), lumbar(31. 4%), and thoracolumbar(22.9 0) in orders.
4. Average involved vertebral number was 2.3.
5. Duration of disease was from 2. 5 weeks to 12 years, and . hospital admission days was mostly in 3 weeks.
6. Back pain, kyphosis, draining sinus, cold abscess formation, and paraplegia. were freq￢uent clinical symptom.
7. The cases that was associated with other organ tbc was 9 cases (25. 7a) except lymphnodes it means 25.7% of the whole.
8. In the laboratory findings, E. S. R. that was 50-60 mm/hr at admission was shifted to as normal range of 10-20 mm/hr after treatments of 5-6 month.
9. In operative treatments, anterior -direct approach to the lesion was 14 cases(66.7%), posterior fusion in 5 cases(23.8%), and laminectomy in 2 cases(9.5%)
10. The consequence of tissue pathology, A. F. B. smear, and culture in 14 cases of direct approach to the lesion findings consistent with tbc. was 10 cases (76.9%) in tissue pathology, and positive culture was in 4 cases(staphylococci) .
11. 4 cases of paraplegia treated with operative measures were completely recovered within 8 months after treatment.
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