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Fusion of the Spine for Tuberculosis in Children: A Long-Range Follow-up Study.

CLEVELAND, MATHER; BOSWORTH, DAVID M.; FIELDING, J. WILLIAM; SMYRNIS, PANAYIOTIS
Journal of Bone & Joint Surgery - American Volume: January 1958
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1. Spine-fusion masses grow and of themselves cause minimal deformity.

2. In a child with tuberculous spondylitis, spine fusion can decrease or may prevent collapse of diseased vertebral bodies.

3. No residual pelvic defects were noted in these adults as a result of removal of iliac grafts from them as children.

4. Development of kyphosis may at times be the result of fatigue-stress fracture of the fusiomi mass with spontaneous repair occurring unnoted.

5. Paraplegia in a child, due to vertebral tuberculosis, demands spine fusion, not laminectomy or evacuation of abscess.

6. Tuberculosis of the spine in a child, adequately treated by spine fusion, can result in an excellent physical status in the adult (Fig. 25).

Copyright 1958 by The Journal of Bone and Joint Surgery, Incorporated

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