Abstract
The data presented in the lecture are based on the modern concept of diagnosis and treatment of spinal tuberculosis in children and on the last 25 years’ experience of surgical treatment of more than 350 such patients aged 8 months to 17 years. Being the head of the Clinic of Pediatric Surgery and Orthopedics (formerly the Children’s Bones and Joints Tuberculosis Surgery Department) of the St. Petersburg Institute of Phthisiopulmonology for the past 17 years, the author expresses gratitude to his teachers and colleagues - surgeons, anaesthesiologists, phthisiatricians, rehabilitologists, pediatricians, surgical and desk nurses, without whom the results would hardly have been achieved, which allow considering the national experience in the surgical treatment of bone tuberculosis in children one of the most successful in the world today.
Highlights
The data presented in the lecture are based on the modern concept of diagnosis and treatment of spinal tuberculosis in children and on the last 25 years’ experience of surgical treatment of more than 350 such patients aged 8 months to 17 years
Petersburg Institute of Phthisiopulmonology for the past 17 years, the author expresses gratitude to his teachers and colleagues – surgeons, anaesthesiologists, phthisiatricians, rehabilitologists, pediatricians, surgical and desk nurses, without whom the results would hardly have been achieved, which allow considering the national experience in the surgical treatment of bone tuberculosis in children one of the most successful in the world today
Поступила в редакцию 14.03.2017 Рецензирование пройдено 23.03.2017 Подписана в печать 05.04.2017
Summary
Please cite this paper as: Mushkin AYu. Tuberculosis of the spine in children: a modern concept. Туберкулезный спондилит – специфическое инфекционное поражение позвоночника, вызванное микобактериями, относящимися к так называемой группе туберкулезного комплекса (M. tuberculosis complex). Tuberculosis of the spine in children: a modern concept кие компенсаторные возможности детского организма приводят к тому, что проявления миелопатии у детей более склонны к неврологическому улучшению при устранении вызвавших их причин [5, 6];. – туберкулезный спондилит у детей может развиваться как при отсутствии, так и на фоне компрометации иммунной системы, причем как приобретенной (ВИЧ-инфекции), так и первичной (хронической гранулематозной болезни, интерферон-gamma интерлейкин-12 связанного иммунодефицита и др.) [1, 15]; морфологическая картина туберкулезного поражения у пациентов с нарушениями иммунного ответа часто не соответствует классической из-за незавершенности фагоцитоза и отсутствия типичных по клеточно-тканевому составу гранулем с центральным некрозом
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