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POTT'S DISEASE?
Pott's
Pott's
(40-50%
of cases ). Spondylitis tuberculosis is the most dangerous form from tuberculosis
THE STRUCTURE OF BACK ANATOMY Bone back composed from 33 segments namely :
7 segments bone neck ( cervical ),
back will composed from two part : 1. Section frontPart this structure prima
vertebrae ). Part this function primarily is for buffer weight body . In betwee
absorber ). 2. Section back Part back fromsegment bone back this function to
: Allow occurrence movement bone back that alone . It is possible by
is also important once . Function this obtained by strong joints inparts reinforc
ed rear by existence ligaments and muscles are very strong . Second structure
last this connect bone back good from segment to adjacent segments as
the column vertebral Vascularization columns spinal vertebral artery that led blood
off be branch end and branch radicular . Some from branches thisanastomosis wi
th spinal cord arteries . Spinal vein forming widespread venous plexus along col
umns vertebral, either next in ( plexus venosi vertebral profundus ) and alsonext
I (implantation) this Stadium happen early , when malignancy germs morestrong fro
( Destruction continue and Collapsed ) Happened after 8-12 weeks from stage
II. When this stadium no treated thenwill happen a great destruction and collapse
us . Patients
leaning self on extremities top ; B) 1. rarefaksi the anterior part of the
intervertebralis ,
2. rarefaksi expanding , narrowing Clearly, 3. vertebral compression ventral part, the gibus
Regional spinal cord compression are normally exposed the anterior portion
of the vertebral body . Destruction progressive bone result vertebral collapse and
of disease usually some month - year form weakness general , lust eat decrease
Gibus .
Cold abscess .
cord form interference motor , sensory as well autonomous corresponding with its
weight destruction bone back , kyphosis and abscesses are formed .
Tuberculosis
of the cervical vertebrae rarely found but have condition more serious because e
in and stiff . Patient with cervical vertebral disease under found with dysphagia
2.Examination support
corpus vertebra
CT scan:
- illustrates bone more details with lesions irregular lytic , and disk collapse da
mage bone - resolution contrast low illustrates network soft more well , especiall
yarea paraspinal - detect lesions early and effective for illustrates form and calcif
space and most effective in show expansion disease to in network soft and deb
ris spread of tuberculosis under ligaments anteriorand posterior longitudinalis -
Immobilization
ation operation :
rrow bone back - interference function progressive lung - failure therapy conservat
one back was broken,until reach healthy area and posterior reach duramater . Ne
xt with grafting taken from kosta or tibia. On generally covers anterior radical
al. , Editor.
the Union Doctor Specialist Rehabilitation Medical Indonesia. Surabaya, 1994: 1-8 4.