Tuberculous, fungal, and other destructive spondylitic lesions must be accurately diagnosed to be effectively treated. Diagnostic and treatment options have been outlined. Surgical management is dictated by (1) the presence or absence of neurological deficit, (2) the extent and location of destruction that affects mechanical spine stability, (3) the need for accurate diagnosis, and (4) the failure of nonoperative management. Tuberculosis is on the rise in the United States. There are an increasing number of individuals who are immunocompromised, secondary to medical management, and HIV infection. This makes it imperative for the treating physician to think of these uncommon disease entities. We emphasize that conservative does not always mean nonoperative. We believe it is conservative to decompress the spinal cord in spondylitic lesions when significant neurological impairment is present or when progressive paralysis occurs.
|Original language||English (US)|
|Number of pages||16|
|Journal||Seminars in Spine Surgery|
|State||Published - Jan 1 1996|
ASJC Scopus subject areas
- Orthopedics and Sports Medicine