History of spine surgery for tuberculous spondylodiscitis
History of spine surgery for tuberculous spondylodiscitis
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DOI：
10.1007/s00113-015-0093-9
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发表时间：
2015-12-01
期刊：
影响因子：
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通讯作者：
Shetty, A. P.
中科院分区：
文献类型：
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作者：
Rajasekaran, S.;Kanna, R. M.;Shetty, A. P.
对于那些患有结核病的人，这是一种古老的疾病，治疗最初仅限于保守治疗，包括高海拔，新鲜空气，休息和固定，手动复位设备和外科手术。在20世纪40年代抗结核化疗出现之前，死亡率和发病率一直很高。今天的多药治疗方案能够很好地清除疾病，也使直接手术清创无并发症成为可能。抗结核药物使死亡率降低了72.5%。手术干预仅适用于选定的情况。
For those stricken with tuberculosis, a disease that was present in ancient times, treatment was originally limited to conservative treatment including high altitude, fresh air, rest, and immobilization, manual reduction devices, and surgical procedures. Mortality and morbidity were high until the advent of antitubercular chemotherapy in the 1940s. Today multidrug regimen enable good disease clearance and also make direct surgical debridement without complications possible. Antitubercular drugs have reduced mortality by 72.5%. Surgical intervention is reserved for selected situations.