The Experts below are selected from a list of 90 Experts worldwide ranked by ideXlab platform
Andrew Jea - One of the best experts on this subject based on the ideXlab platform.
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surgical treatment of thoracic Pott Disease in a 3 year old child with vertebral column resection and posterior only circumferential reconstruction of the spinal column case report
Journal of Neurosurgery, 2012Co-Authors: Leonardo Rangelcastilla, Steven W Hwang, William E Whitehead, Daniel J Curry, Thomas G Luerssen, Andrew JeaAbstract:Tuberculosis (TB) is a common Disease worldwide that is caused by Mycobacterium tuberculosis. Tuberculosis of the spine, also called Pott Disease, is the most common site of bony dissemination. Although children are disproportionately affected, spinal TB is nonetheless rare in very young children. Cases involving infants requiring surgical intervention have been previously reported, and they are often associated with greater management challenges given the technical difficulty with instrumentation in very young children. This case involved a 3-year-old girl with TB centered at T-6, who presented with myelopathy from spinal cord compression and a severe kyphotic deformity (> 60°). She underwent a single-stage costotransversectomy for vertebral column resection, followed by reconstruction with an anterior expandable titanium cage and posterior pedicle screw instrumentation. At last follow-up, the patient was clinically and radiographically stable. The authors report on the youngest patient with spinal TB tr...
Federico P Girardi - One of the best experts on this subject based on the ideXlab platform.
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Pott Disease in the thoracolumbar spine with marked kyphosis and progressive paraplegia necessitating posterior vertebral column resection and anterior reconstruction with a cage
Spine, 2006Co-Authors: Ioannis P Pappou, Elias C Papadopoulos, Andrew N Swanson, Matthew J Mermer, Gary A Fantini, Michael K Urban, Linda A Russell, Frank P Cammisa, Federico P GirardiAbstract:Study Design. Case report. Objectives. To report on a patient with Pott Disease, progressive neurologic deficit, and severe kyphotic deformity, who had medical treatment fail and required posterior/anterior decompression with instrumented fusion. Treatment options will be discussed. Summary of Background Data. Tuberculous spondylitis is an increasingly common Disease worldwide, with an estimated prevalence of 800,000 cases. Methods. Surgical treatment consisting of extensive posterior decompression/instrumented fusion and 3-level posterior vertebral column resection, followed by anterior debridement/fusion with cage reconstruction. Results. Neurologic improvement at 6-month follow-up (Frankel B to Frankel D), with evidence of radiographic fusion. Conclusions. A 70-year-old patient with progressive Pott paraplegia and severe kyphotic deformity, for whom medical treatment failed is presented. A posterior vertebral column resection, multiple level posterior decompression, and instrumented fusion, followed by an anterior interbody fusion with cage was used to decompress the spinal cord, restore sagittal alignment, and debride the infection. At 6-month follow-up, the patient obtained excellent pain relief, correction of deformity, elimination of the tuberculous foci, and significant recovery of neurologic function.
Leonardo Rangelcastilla - One of the best experts on this subject based on the ideXlab platform.
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surgical treatment of thoracic Pott Disease in a 3 year old child with vertebral column resection and posterior only circumferential reconstruction of the spinal column case report
Journal of Neurosurgery, 2012Co-Authors: Leonardo Rangelcastilla, Steven W Hwang, William E Whitehead, Daniel J Curry, Thomas G Luerssen, Andrew JeaAbstract:Tuberculosis (TB) is a common Disease worldwide that is caused by Mycobacterium tuberculosis. Tuberculosis of the spine, also called Pott Disease, is the most common site of bony dissemination. Although children are disproportionately affected, spinal TB is nonetheless rare in very young children. Cases involving infants requiring surgical intervention have been previously reported, and they are often associated with greater management challenges given the technical difficulty with instrumentation in very young children. This case involved a 3-year-old girl with TB centered at T-6, who presented with myelopathy from spinal cord compression and a severe kyphotic deformity (> 60°). She underwent a single-stage costotransversectomy for vertebral column resection, followed by reconstruction with an anterior expandable titanium cage and posterior pedicle screw instrumentation. At last follow-up, the patient was clinically and radiographically stable. The authors report on the youngest patient with spinal TB tr...
Ioannis P Pappou - One of the best experts on this subject based on the ideXlab platform.
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Pott Disease in the thoracolumbar spine with marked kyphosis and progressive paraplegia necessitating posterior vertebral column resection and anterior reconstruction with a cage
Spine, 2006Co-Authors: Ioannis P Pappou, Elias C Papadopoulos, Andrew N Swanson, Matthew J Mermer, Gary A Fantini, Michael K Urban, Linda A Russell, Frank P Cammisa, Federico P GirardiAbstract:Study Design. Case report. Objectives. To report on a patient with Pott Disease, progressive neurologic deficit, and severe kyphotic deformity, who had medical treatment fail and required posterior/anterior decompression with instrumented fusion. Treatment options will be discussed. Summary of Background Data. Tuberculous spondylitis is an increasingly common Disease worldwide, with an estimated prevalence of 800,000 cases. Methods. Surgical treatment consisting of extensive posterior decompression/instrumented fusion and 3-level posterior vertebral column resection, followed by anterior debridement/fusion with cage reconstruction. Results. Neurologic improvement at 6-month follow-up (Frankel B to Frankel D), with evidence of radiographic fusion. Conclusions. A 70-year-old patient with progressive Pott paraplegia and severe kyphotic deformity, for whom medical treatment failed is presented. A posterior vertebral column resection, multiple level posterior decompression, and instrumented fusion, followed by an anterior interbody fusion with cage was used to decompress the spinal cord, restore sagittal alignment, and debride the infection. At 6-month follow-up, the patient obtained excellent pain relief, correction of deformity, elimination of the tuberculous foci, and significant recovery of neurologic function.
Daniel J Curry - One of the best experts on this subject based on the ideXlab platform.
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surgical treatment of thoracic Pott Disease in a 3 year old child with vertebral column resection and posterior only circumferential reconstruction of the spinal column case report
Journal of Neurosurgery, 2012Co-Authors: Leonardo Rangelcastilla, Steven W Hwang, William E Whitehead, Daniel J Curry, Thomas G Luerssen, Andrew JeaAbstract:Tuberculosis (TB) is a common Disease worldwide that is caused by Mycobacterium tuberculosis. Tuberculosis of the spine, also called Pott Disease, is the most common site of bony dissemination. Although children are disproportionately affected, spinal TB is nonetheless rare in very young children. Cases involving infants requiring surgical intervention have been previously reported, and they are often associated with greater management challenges given the technical difficulty with instrumentation in very young children. This case involved a 3-year-old girl with TB centered at T-6, who presented with myelopathy from spinal cord compression and a severe kyphotic deformity (> 60°). She underwent a single-stage costotransversectomy for vertebral column resection, followed by reconstruction with an anterior expandable titanium cage and posterior pedicle screw instrumentation. At last follow-up, the patient was clinically and radiographically stable. The authors report on the youngest patient with spinal TB tr...