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Chapter-16 Tuberculosis of the Lower Cervical Spine

BOOK TITLE: Spinal Infections and Trauma

Author
1. Chaddha Ram
2. Keny Swapnil
ISBN
9789350250754
DOI
10.5005/jp/books/11196_16
Edition
1/e
Publishing Year
2011
Pages
16
Author Affiliations
1. Lilavati, Fortis, Guru Nanak Hospitals, Mumbai Maharashtra, India, KJ Somaiya Hospital and Medical College; Lilavati and Fortis Hospitals, Mumbai, Maharashtra, India, KJ Somaiya Medical College and Hospital, Mumbai, Maharashtra, India, Lilavati, Saifee, Wockhardt Hospitals, Mumbai, Maharashtra, India; KJ Somaiya Medical College and General Hospital, Mumbai, Maharashtra, India, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
2. Bombay Hospital, Mumbai, Maharashtra, India and Sir JJ Group of Hospitals and Grant Medical College, Mumbai, Maharashtra, India
Chapter keywords

Abstract

Tuberculosis of the cervical spine is essentially a medical disease with bracing and rest being the adjuvant modalities of therapy. The clinical course of the disease in children differs from that in adults. The role of surgery is clearly defined and is reserved for those patients who either develop a neurological deficit inspite of chemotherapy, who have complications due to compression of vital structures in the neck, those who have an impending deformity or those who present with late onset deformity and paraparesis. Anterior instrumented fusion surgery has the best clinicoradiological and functional outcome amongst all the described surgical procedures and is the procedure of choice in this condition.

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