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potts spine ug.pptx
- 2. • • •
- 3. • • • VEINS PELVIC URINARY BLADDER PROSTATE INTERNAL VERTEBRAL VENOUS PLEXUSES [1]
- 5. • •
- 10. region Pre vertebral spread Paravertebral spread Along musculo fascial planes Along neuro vascular bundles cervical Retropharyngeal abscess Paravertebral abscess Neck (along SCM),posterior triangle of neck Axilla (along brachial plexus bundle) thoracic Mediastinal abscess Paravertebral abscess Lumbar abscess Psoas abscess Anterior chest wall Posterior chest wall Axilla( along thoracic spinal nerves) lumbar Pre vertebral abscess Paravertebral abscess Lumbar abscess Psoas abscess
- 16. •
- 17. • X RAY • CT SCAN • MRI • • • • • • • • 18-FDG PET SCAN
- 18. INITIATION PHASE– 2 MONTHS CONTINUATION PHASE-- 7 MONTHS H R Z E H R • MDR TB • XDR TB • TDR TB ATT IS THE MAINSTAY OF TREATMENT IN TUBERCULOSIS OF BONE AND JOINTS. ATT ALONE SUFFICIENT TO TREAT UNCOMPLICATED TB EVEN AN UNCOMPLICATED COLD ABSCESS CAN BE RESOLVED WITH ATT ALONE
- 20. • • • • • • •
- 21. OBJECTIVES OF SURGICAL TREATMENT • ADEQUATE DECOMPRESSION ( DEBRIDEMENT AND DRAINAGE OF COLD ABSCESS • MAINTAINANCE OF STABILITY ( FUSION OR SPINE FIXATION WITH INSTRUMENTATION) • CORRECTION OR HALT PROGRESSION OF DEFORMITY