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Symptoms of spinal tuberculosis kyphosis deformity
Typical symptoms: Lumbar 4 or 5 lesions or even a complete loss of vertebral body, has little effect on the kyphosis. It may be compensated by the original lumbar protrusion. Thoracic spine or thoracic spine tuberculosis resulting in complete loss of one or two or three vertebrae
Related symptoms: Trunk deformity curved kyphosis
The level of the spine where the lesion is located has a significant impact on the degree of kyphosis. In the same way, the vertebral body is damaged, and the kyphosis deformity of the thoracic or thoracolumbar spine is more serious than that of the lumbar spine.
1. Lumbar spine 4 or 5 lesions are damaged or even one vertebral body is completely lost, which has little effect on the kyphosis. It may be compensated by the original lumbar protrusion.
2. Thoracic spine or thoracic spine tuberculosis caused complete loss of one or two or three vertebral bodies, and finally a 30°～90° kyphosis deformity will be formed. In this group, 23 cases (46%) had kyphosis deformity. Around °, it is reported that the destruction of a single vertebral body disappeared, and the final kyphosis will be 33° in the thoracic spine, 37° in the thoracic and lumbar spine, and only 24° in the lumbar spine, which is a significant difference. Severe kyphosis (>100°) seems to be concentrated in the lower thoracic spine tuberculosis.
3. The age of the patient at the beginning of treatment has an important influence on the degree of progressive kyphosis. In patients with completed spine growth and development, most of the kyphosis occurred within 12 months of treatment, and there was almost no progressive increase in the following 2 years. In the growth and development of children, the initial kyphosis deformity <40°, the lesions in the thoracolumbar spine or lumbar spine and the subsequent kyphosis deformity can be reduced or unchanged; on the contrary, the initial kyphosis deformity>40°, as the child’s spine develops, the kyphosis deformity Will be progressively increased.
The diagnosis can be made based on medical history, physical signs and X-ray photography.
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