Outline of Treatment of Spinal Tuberculosis
Tuberculosis In general , Rest and Nutrition Chemotherapy Surgery if needed . Dorsal Spine - Approach to surgery A bit ambiguous Many prefer to do Anterior Transpleural. Some choose Anterolateral/posterolateral extrapleural and posterolateral approaches Posterolateral Approach(Martin 1970) Dura exposed by Hemilaminectomy first and then operation extended laterally to remove posterior ends of 2 to 4 ribs, corresponding transverse process and pedicles. He thinks Anterolateral approach a very risky one. Approach to Atlanto-occipital and Atlanto-axial joint Numerous structures on the way anteriorly Supine position, Neck on 5-10 degrees hyperextension ,Trachesostomy done Transoral Anterior Approach Uvula, Soft palate bissected , Hypopharynx packed, 5 cm long incision given, Flaps
Comments
Post a Comment