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RISS 인기검색어
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- 저자 : Arvind Jayaswal (검색결과 2 건)
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Management of Tuberculous Infection of the Spine
Pankaj Kandwal,Vijayaraghavan G.,Arvind Jayaswal 대한척추외과학회 2016 Asian Spine Journal Vol.10 No.4
Spinal tuberculosis accounts for nearly half of all cases of musculoskeletal tuberculosis. It is primarily a medical disease and treatment consists of a multidrug regimen for 9–12 months. Surgery is reserved for select cases of progressive deformity or where neurological deficit is not improved by anti-tubercular treatment. Technology refinements and improved surgical expertise have improved the operative treatment of spinal tuberculosis. The infected spine can be approached anteriorly or posteriorly, in a minimally invasive way. We review the various surgical techniques used in the management of spinal tuberculosis with focus on their indications and contraindications.
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Severe Rigid Scoliosis: Review of Management Strategies and Role of Spinal Osteotomies
Pankaj Kandwal,Govindaraja Perumal Vijayaraghavan,Upendra Bidre Nagaraja,Arvind Jayaswal 대한척추외과학회 2017 Asian Spine Journal Vol.11 No.3
Severe rigid curves pose a considerable challenge to the treating spine surgeon. In our practice, approximately 30%–40% of patients with scoliosis present late with severe rigid scoliosis (>90° and <30% correction on bending films). Controversy still exists with regard to the ideal surgical strategy for correcting these rigid curves. Rigid scoliosis often presents in the form of either sharp angular or rounded deformities. Rounded deformities can be effectively managed with an anterior release to loosen the apex and posterior instrumentation (with osteotomies, if required). In contrast, severe rigid scoliosis, which is a sharp angular deformity, is not very amenable to anterior release and is best managed by posterior-only vertebral column resection and posterior instrumentation.
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