A case of the multiple tuberculous spondylitis with pott's paraplegia.

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Though tuberculous spondylitis is decreasing, it is not rare. This is to report on a case of muitiple spinal bodies affected with tuberculosis accompanying high grade kyphosis and Pott's paraplegia. The case was a 56-years-old female.Since she was affected at 10 years old, kyphosis had increased, In June 1983 paraplegia occurred. When hospitalized on 4 June 1984, she was unable to walk alone due to paraplegia. Roentgenogram showed destruction of the 5th thoracic to the 4th lumbal vertebral bodies. Kyphosis angle was 125 degrees.On 6 July 1984, curettage of the TH-4 to L-4 vertebral bodies and vascularized fibular bone graft was undertaken. Bleeding amount was 17, 000 grams, and operation time, 2 hours. After operation, paraplegia resolved gradully, 20 weeks later the patient began to walk.By scintigram, uptake was not seen in the grafted bone but nine weeks later coalescence between the grafted bone and the vertera was found by roentgenograms.
西日本整形・災害外科学会の論文