0
Journal Contents   |    
POTT'S PARAPLEGIA
GEORGE J. GARCEAU; THOMAS A. BRADY
View Disclosures and Other Information
Departments of Orthopaedic Surgery of the Indiana University School of Medicine and St. Vincent's Hospital, Indianapolis
1950 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1950; 32:87-102 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

From a prolonged and careful study of the small series here reported, it is evident that Pott's paraplegia can be simply classified as early-onset and late-onset types. The changes which occur in the two types need not necessarily change the classification of a given case, but a case of early-onset type may become like one of late-onset type.

The prognosis is always considered grave, until signs of recovery appear during recumbency treatment.

Patients with Pott's paraplegia should not be allowed to remain in a paraplegic state indefinitely. Studies of the dynamics of the spinal fluid and other studies should be made to determine whether surgery is indicated.

Of six patients operated upon less than nine months after the onset of the paraplegia. five completely recovered and one died.

Of four patients operated upon one or more years after the onset of the paraplegia, two died, one completely recovered, and one is unimproved. Patients operated upon fairly early, in whom conservative treatment had failed, recovered more rapidly and completely than those operated upon later. Of twenty-two patients treated by recumbency, eleven completely recovered; three were unimproved; three recovered partially; and five died.

No ill-effects or deaths can be attributed to the two surgical procedures employed.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Pott disease in a 13-month-old: case report.
    Neurosurgery: Issue date- 2011 May
    Tuberculosis of spine with neurological deficit in advanced pregnancy: a report of three cases.
    The spine journal : official journal of the North American Spine Society: Issue date- 2011 Jan
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    ME - Central Maine Medical Center
    12/22/2011
    Maine - Central Maine Medical Center