A Case Report on the Anterior Fusion for the Spondylitis Tuberculosa of the Cervical Spine

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The patient was a farmer, fifty-one years old. About nine years before he had suffered from tuberculous spondylitis of the cervical spine and complained of pains in the lower extremity, which had gradually increased till he had become difficult to walk.The laminectomy and focal curettage of the cervical spine had been done. After the operaation he could work as a farmer without complaints following nine years. However, one year before he noticed again pains and convulsions in the lower extremity and showed gait disturbance.A roentgenogram showed kyphosis of the seventh cervical spine and destruction of the fifth, sixth and seventh cervical bodies. The operation was done by antero-lateral approach. The tuberculous lesions were curettaged out and central portion of the cervical body (C5, C6, C7) was resected longitudinally and the dura mater was exposed to try the complete decompression of the spinal cord. A iliac graft was inserted in the defect. Immediately after the surgery, ppains and spasms of the lower extremity were disappeared. Three months after this procedure, a firm bony union was seen roentgenographically at the site of bone grafting. At present the general condition of the patient is excellent and the original symptomes are cleared up.
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