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결핵성 척추염에 대한 임상적 고찰 Clinical Study of Spinal Tuberculosis

적십자병원지 1979년 6권 1호 p.40 ~ 48
곽수영, 최충신,
소속 상세정보
곽수영 (  ) 
서울적십자병원 정형외과

최충신 (  ) 
서울적십자병원 정형외과

Abstract


A clinical study of spinal tuberculosis was made on 81 patients, who had been treated at. the Department of Orthopedic Surgery, Seoul Red Cross Hospital, during the 4 years period from January 1974 to December 1977.
The results obtained were as follows;
1) The patients have been increased since 1977.
2) The ratio of male to female was not significant, but the age distribution showed a peak incidence in the third decade.
3) The lumbar spine was most commonly involved, being in 43.4% of the cases, while the dorsal spine occupied 27.7%.
Considering the age, however, the dorsal spine was most commonly involved in the children as compared to the lumbar spine in the adults.
4) In 84.2% of the patients, chemotherapy was begun prior to operation and in 51.8% for a period less than 4 weeks.
5) The major associated tuberculous lesions elsewhere and complications were pulmonary tuberculosis in 28.4% paraplegia in 27.2% and draining sinus or bulging mass over body surface in 21. 0%.
6) The number of involved vertebral bodies was higher in children than in adults.
7) Paraplegia presented a peak incidence in the second decade (42.9%). The number of vertebral bodies involved and the extent of destruction and kyphotic angulation were more severe in the paraplegic´ group than in the non paraplegic group.
8) In the paraplegic group, thoracic, cervico-thoracic, and thoraco-lumbal spines comprised 71.8% of the cases. In our experience, the paraplegic group of early onset was better than that of late onset in regard to´ prognosis for recovery.
9) 22 patients who had complete or incomplete paraplegia had a variety of pathological lesions in or, near the spinal canal. The most, common lesion was a sequestrum or a sequestrated disc.

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