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Published in Anton Sebastian, A Dictionary of the History of Medicine, 2018
Pott Disease Tuberculosis of the spine has been known for over 3000 years. The mummy of an Egyptian priest of Amon dating from 1000 BC shows evidence of it. Percivall Pott (1714–1788) described the deformity and sequelae due to spinal caries (Pott disease) in 1779, but was probably not aware of its tuberculous nature. Hippocrates (460–377 BC) described it as did Jacques Mathieu Delpech (1777–1832) of France in 1828.
Case 28: Bilateral Hip Pain
Published in Layne Kerry, Janice Rymer, 100 Diagnostic Dilemmas in Clinical Medicine, 2017
Haematogenous spread of tuberculosis can lead to infection within the vertebrae, causing a tuberculosis spondylitis, also known as Pott disease. The patient has had pulmonary tuberculosis 2 years earlier and she both lives in and travels to cities with a high prevalence of tuberculosis (London and Dhaka). This diagnosis could explain the night sweats and weight loss, as well as the pancytopaenia if bone marrow involvement is present.
A new lumbar fixation device alternative to pedicle-based stabilization for lumbar spine: In vitro cadaver investigation
Published in The Journal of Spinal Cord Medicine, 2020
Cengiz Gomleksiz, Deniz Ufuk Erbulut, Halil Can, Manoj Kumar Kodigudla, Amey V. Kelkar, Eser Kasapoglu, Ali Fahir Ozer, Vijay K. Goel
Posterior lumbar segmental instrumentation using pedicle screws has long been used by spine surgeons for fixation in degenerative spine diseases, trauma and congenital/acquired spinal deformities. Posterior stabilization was first described by Albee for the treatment of Pott disease in 1911, and Hibbs described the same technique for degenerative instability in the same year.1,2 This technique could be described as interspinous posterior fixation since autografts were placed between the decorticated spinous processes. In 1934, Mixter and Barr3 hypothesized that lumbo-sciatalgia was caused by disc herniation and that the most durable and effective treatment would be “a crude pure fusion technique”. In 1962, Harrington4 proposed a novel method for treating scoliosis. Harrington’s method involved the use of metal rods and hooks for providing stability to the spine along with correcting the curvature of the spine. Later, these rods became known as “Harrington rods”. These rods were commonly used during the subsequent 30 years for scoliosis, degenerative spine and instability surgeries. A technical paradigm shift in spinal instrumentation was achieved by the introduction of transpedicular screws. Today’s commonly used contemporary transpedicular screwing technique was first used in 1970 by Roy-Camille et al.5 and in 1984 by Cotrel and Dubousset.6 Anatomical landmarks are well defined for pedicle screw insertion, and real-time image guidance by intraoperative computed tomography has improved the accuracy of screw trajectory. However, significant malposition or inadvertent course of screws remains a major concern among spine surgeons.7,8
Abstracts book
Published in Acta Clinica Belgica, 2020
We relate the case of a 53-year-old woman presenting at the emergency room with clinical signs of meningitis who was under investigation for back pain and just had a magnetic resonance imaging (MRI) showing Pott disease lesions. A late diagnosis led the patient to death that could have been avoided with early diagnosis and treatment.