[abstract] EARLIER IMPROVEMENT IN THE MANAGEMENT OF SPINAL TUBERCULOSIS WITH HYPERBARIC OXYGEN THERAPY.

Rubicon Research Repository/Manakin Repository

[abstract] EARLIER IMPROVEMENT IN THE MANAGEMENT OF SPINAL TUBERCULOSIS WITH HYPERBARIC OXYGEN THERAPY.

Show full item record


Title: [abstract] EARLIER IMPROVEMENT IN THE MANAGEMENT OF SPINAL TUBERCULOSIS WITH HYPERBARIC OXYGEN THERAPY.
Author: Simsek, H; Topuz, K; Kutlay, AM; Colak, A; Kaya, S; Cetinkal, A; Demircan, MN; Yildiz, S
Abstract: INTRODUCTION: The aim of this study was to investigate the effect of adjuvant hyperbaric oxygen (HBO) therapy on the duration of antibiotic treatment in the management of spinal tuberculosis. MATERIALS AND METHODS: Between November 1994 and December 2004, 16 patients with tuberculous spondylitis of the cervical, thoracic and lumbar spine were treated by radical surgical debridment (abscess drainage with / without anterior decompression with / without fusion or posterior decompression and internal fixation using metal prosthesis and bone graft), chemotheraphy, and adjuvant HBO therapy. Preoperative and postopertive neurologic status were documented according to the American Spinal Injury Association Impairment Scale. Spine and chest radiographs, computerized tomography and magnetic resonance imaging were performed for monitorization. PPD, ESR, CRP, and AntiHIV rates were detected. Percutaneous needle biopsy was performed on each patient before treatment. Surgical treatment was considered in the presence of spinal instability or progressive neurological symptoms with evidence of cord compression or deformation. Antituberculous regimen was continued for a total of 6 months postoperatively. Each patient received adjuvant HBO therapy for 6 weeks beginning in the first day postoperatively. Follow-up interval was at 6 weeks, 3 months, 6 months, and 12 months, postoperatively and yearly thereafter. RESULT There were no intraoperative complications and all patients had uneventful postoperative courses. Infection control was achieved in all patients and no recurrence was recorded. CONCLUSION This series represents the first reported group of patients with spinal tuberculosis treated with HBO therapy adjunct to antituberculous chemotherapy. This combination provided earlier clinical improvement and radiologic consolidation.
Description: Abstract of the Undersea & Hyperbaric Medical Society 2008 Annual Scientific Meeting June 26-28, 2008 Salt Lake City Marriott Downtown, Salt Lake City, Utah.
URI: http://archive.rubicon-foundation.org/7921
Date: 2008

Files in this item

Files Size Format View
abstract.txt 193bytes Text file View/Open

This item appears in the following Collection(s)

  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

Show full item record

Browse

My Account