pott’s disease
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Author(s):  
Filippo Gagliardi ◽  
Edoardo Pompeo ◽  
Pierfrancesco De Domenico ◽  
Silvia Snider ◽  
Francesca Roncelli ◽  
...  

Since the end of the nineteenth century, the wide dissemination of Pott’s disease has ignited debates about which should be the ideal route to perform ventrolateral decompression of the dorsal rachis in case of paraplegia due to spinal cord compression in tuberculosis spondylitis. It was immediately clear that the optimal approach should be the one minimizing the surgical manipulation on both neural and extra-neural structures, while optimizing the exposure and surgical maneuverability on the target area. The first attempt was reported by Victor Auguste Menard in 1894, who described, for the first time, a completely different route from traditional laminectomy, called costotransversectomy. The technique was conceived to drain tubercular paravertebral abscesses causing paraplegia without manipulating the spinal cord. Over the following decades many other routes have been described all over the world, thus demonstrating the wide interest on the topic. Surgical development has been marked by the new technical achievements and by instrumental/technological advancements, until the advent of portal surgery and endoscopy-assisted techniques. Authors retraced the milestones of this history up to the present days, through a systematic review on the topic.


2022 ◽  
pp. 103239
Author(s):  
José Paulo Guedes Saint Clair ◽  
Írian Evelyn Cordeiro Rabelo ◽  
Juan Eduardo Rios Rodriguez ◽  
Gustavo Lopes de Castro ◽  
Thaís Regina Moreira Printes ◽  
...  

Author(s):  
Edwin U. Suárez ◽  
Silvia Calpena ◽  
Beatriz Álvarez ◽  
Miguel Górgolas ◽  
Raúl Córdoba
Keyword(s):  

Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_5) ◽  
Author(s):  
Bendaoud Fadila ◽  
Mouffouk Hassen ◽  
Ouzani Sara ◽  
Brahmi Saida

Abstract Background Non-traumatic acquired spinal deformities represent a separate entity within the axial pathologies in children. Their causes are variable (neurological, muscular, infectious, especially Pott's disease, inflammatory or tumoral). The etiological diagnosis can be clinically oriented by pain, medical history, especially rheumatic. The contribution of the CT scan is crucial, as it localizes the lesion, specifies its nature, but above all it helps the histological diagnosis by guided biopsies. Our case illustrates the difficulties in diagnosing the aetiology of spinal acquired deformity in a girl with a multi-evocative context. Observation A 14 years-old girl complains for a few months of a dorso-lumbar spinal pain and a vicious attitude. Her medical history includes femoral thrombophlebitis and psoriasis. She had no trauma or fever. Clinically, the general state is preserved, with no local inflammatory signs, a kyphotic attitude with an analgesic lumbar support was noted. The rest of the locomotor exam was normal. CT scan shows cancellous body geodes with a double mirror. Discussion Acquired spinal deformities are always secondary to general disease. The fever may point to bacterial infections, especially tuberculosis (Pott's disease), but also non-infectious causes such as a rheumatic disease. For our patient, psoriasis argues for the latter possibility. However, the rarity of isolated disco-vertebral involvement and the severity of the lytic lesions are against this diagnosis. The histopathological exam showed an eosinophilic granuloma, confirming the histiocytosis X diagnosis. The cortico-response strengthen the diagnosis. The course was marked by the bone remodeling with the posture correction. Conclusion A clinical, radiological, and histological analysis allow the etiological orientation in front of acquired spinal deformity.


Author(s):  
António Pereira-Neves ◽  
Isabel Vilaça
Keyword(s):  

IDCases ◽  
2021 ◽  
pp. e01303
Author(s):  
Yuki Murata ◽  
Yoshitaka Tomoda
Keyword(s):  

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