结核性脊柱炎课件.pptVIP

When comes to differential diagnosis of metastasis and pott disease, despite the laboratory test and clinical information, we can see typical metastasis destroy the posterior part of vertebral bodies and vertebral pedicle, the disc remains intacted (未受损) becauseof its unvascularized. meanwhile typical cases of spinal metastases often lack of epidural or vertebral abscess. The primary treatment goal of spinal TB is to eradicatie the infection. Secondary goals are to maintain stability of the affected spinal segments, correcting the spinal deformities, prevent paralysis, Simutaneously maintain pulmonary function treatment include supportive care, chemotherapy, and surgery： When a patient presents in the early stages of disease with minimal bone involvement and no noticeable deformity, good general supportive care and chemotherapy alone can be given on an ambulatory（门诊） basis without bracing（矫正） Chemotherapy alone cannot solve the problems arising from bone and joint destruction. Therefore, surgical procedures still assume an important role in the management of spinal TB。 Surgery is indicated only for disease-related complications such as segmental instability,deformity, and neurological deficity Company name Company slogan here Company name Company slogan here WWW.COMPANYSITE.COM | INFO@COMPANYSITE.COM | +12 34 567 890 | LONG STREET 12345, CITY, COUNTRY Company name Company slogan here Company name Company slogan here WWW.COMPANYSITE.COM | INFO@COMPANYSITE.COM | +12 34 567 890 | LONG STREET 12345, CITY, COUNTRY * Case report Patient information: JingXian Liu Female 78y No. p733876 left ureteral calculi combined with left kidney hydronephrosis(肾积水) 结核性脊柱炎 Tuberculous Spondylitis ( Pott Disease ) * Epidemiology 80% under 30y Osteoarticular TB: 90% secondary to pulmonary TB L＞T＞C （adults） T＞C＞L（kids） 90% pott disease influnece vertebra body 骨关节结核：spine ＞hip ＞knee ＞elbow joint vertebra appendix alone involved is