Tratamiento quirúrgico de la Espondilitis tuberculosa (Enfermedad de Pott). Reporte de un caso y revisión de la literatura. Surgical treatment of tuberculous spondylitis (Pott's disease). Case report and literature review.

Nafxiel Jesús Brito-Núñez, Luis Campos, Francisco Diaz, Mariangela Velásquez, Edenys Izaguire, Diego Echenique, Cesar Roa, Gustavo Faria, Aniello Romano, Maria Lucy De Gouveia, Jaime Krivoy

Resumen

La espondilitis tuberculosa (enfermedad de Pott) representa del 1-5% de los casos de tuberculosis. Se presenta un caso clínico de una paciente femenino de 14 años de edad con espondilitis tuberculosa (enfermedad de Pott) complicada con fractura de cuerpos vertebrales T4, T7, T8 y T9, se realizó un abordaje por vía posterior, consiste en laminectomía completa bilateral de T3, T4, T7, T8, T9 preservando las articulaciones facetarias, mas artrodesis instrumentada con ganchos sublaminares en T1-T2, colocación de alambres sublaminares T5 y T6, tornillos transpediculares en T11 y dos barras de titanio. Con excelentes resultados postoperatorios. Además, se discuten las diferentes vías de abordajes quirúrgicos de esta patología.

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Referencias

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