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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
The role of surgery in the management of Pott's disease in Yaoundé. A review of 43 cases
Orthopaedics and Traumatology: Surgery and Research, Volume 99, No. 4, Year 2013
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Description
Introduction: Pott's disease is a common entity in our hospital. The authors report their experience in the surgical treatment of Pott disease. Patients and methods: This is a retrospective study including all patients who underwent surgery for Pott's disease in our institution between November 1999 and November 2004. Results: Forty-three patients were included, including 23 men and 20 women (ratio 1.15). Location of the disease was cervical (2 cases), dorsal (19 cases), dorsolumbar (2 cases) lumbar (16 cases) and sacrolumbar (4 cases). Ten patients were HIV positive (24%). The surgical indication was sometimes diagnostic, but predominantly therapeutic (medullary compression, instability or deformity). Spinal decompression alone was performed in 23 cases, associated with internal fixation of the spine (17 cases) or external immobilization (Halo Vest) in two cases. The anterior approach was used in four cases and a posterior approach in 38 cases. Decompression by posterior approach included 1 or 2 level laminectomy alone or associated with internal plate fixation (4 pedicle screws and 2 plates). There was no functional recovery in patients with a complete neurological deficit (Frankel A); those with a severe deficit (Frankel B) partially recovered, while those with more moderate deficits (Frankel C and D) recovered completely. Fusion was obtained (graft integration) regardless of the surgical approach used, progression of the deformity was stopped and early mobilization was possible. Conclusion: Surgery definitely plays a role in the diagnosis and treatment of Pott's disease, especially in countries where patients are seen at a late stage of the disease when complications have developed. Surgical decompression should not be delayed until lesions become ischemic and irreversible (Frankel A). Level of evidence: Level IV. Retrospective study. © 2013 Elsevier Masson SAS.
Authors & Co-Authors
Djientcheu, Vincent De Paul
Cameroon, Yaounde
Central Hospital of Yaounde Fmbs
Mouafo Tambo, Faustin Félicien
Cameroon, Yaounde
Yaoundé Gynecology/obstretrics and Paediatrics Hospital Ygoph
Ndougsa, I. S.
Cameroon, Yaounde
Yaoundé Gynecology/obstretrics and Paediatrics Hospital Ygoph
Eloundou, Ngah Joseph
Cameroon, Yaounde
Central Hospital of Yaounde Fmbs
Kouna Tsala, Irene Nadine
Cameroon, Yaounde
Yaoundé Gynecology/obstretrics and Paediatrics Hospital Ygoph
Ngowe-Ngowe, Marcelin
Cameroon, Yaounde
Yaoundé Gynecology/obstretrics and Paediatrics Hospital Ygoph
Andze, Ondobo Gervais
Cameroon, Yaounde
Yaoundé Gynecology/obstretrics and Paediatrics Hospital Ygoph
Sosso, Maurice Aurélien
Cameroon, Yaounde
Yaoundé Faculty of Medicine and Biomedical Sciences I Yfmandbs
Statistics
Citations: 8
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1016/j.otsr.2012.12.022
e-ISSN:
18770568
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cohort Study
Participants Gender
Male
Female