A practical therapeutic protocol for cervical tuberculosis

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Xi-Yang WangPeng-Hui Zhang

Abstract

Cervical tuberculosis (CTB) is a relatively rare entity, even in endemic countries. Currently, management ranges from conservative to radical surgical approaches. We report our experience in diagnosing and treating 66 cases of CTB in the past eight years using our CTB therapeutic protocol. All patients diagnosed with CTB were followed up over a 3.5-year period. Patients were divided into three grades using clinicoradiological criteria designed to evaluate the initial severity of the disease. Overall performance status was assessed based on the American Spinal Injury Association (ASIA) scale. Neurological recovery was evaluated with the ASIA scale as well as using X-rays and computed tomography every four weeks for the initial three months and every three months thereafter. The mean follow-up duration was 38.2 ± 6.2 months. No mortality occurred. One case of recurrence due to irregular antitubercular treatment (ATT) was cured by abscess clearing and regular ATT. All other patients had good clinicoradiological outcomes, regardless of grading. The use of our proposed scoring system and management protocol allowed speedy management of CTB.

References

Apr 24, 2003·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·I Teoman BenliAhmet Un
Aug 28, 2003·European Radiology·Dimitri De VuystArthur M De Schepper
Nov 14, 2008·Neurosurgery·Ramesh TeegalaBhawani S Sharma
Jul 3, 2010·The Journal of Bone and Joint Surgery. British Volume·A K Jain
Feb 24, 2011·Spine·Justin M HallerFrancis H Shen
Jul 2, 2011·International Orthopaedics·Anil Kumar Jain, Saurabh Jain
Sep 21, 2011·International Orthopaedics·Arun KannanRajesh Malhotra
Jan 5, 2012·International Orthopaedics·Eli KamaraAnil K Jain
Jan 5, 2012·International Orthopaedics·Enrique Guerado, Ana María Cerván
Mar 23, 2012·Current Medical Research and Opinion·Alberto Di MartinoVincenzo Denaro
Mar 30, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Saumyajit Basu, Sreeramalingam Rathinavelu

❮ Previous
Next ❯

Citations

Dec 15, 2015·Haemophilia : the Official Journal of the World Federation of Hemophilia·G LingK Gomez
Aug 11, 2020·Archives of Orthopaedic and Trauma Surgery·Bo YuanLianshun Jia
Oct 30, 2021·Journal of Orthopaedic Surgery·Ajoy Prasad ShettyS Rajasekaran

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antitubercular Agents (ASM)

Antitubercular agents are pharmacologic agents for treatment of tuberculosis. Discover the latest research on antitubercular agents here.

Antitubercular Agents

Antitubercular agents are pharmacologic agents for treatment of tuberculosis. Discover the latest research on antitubercular agents here.