Preservasi Kolum Posterior dengan Menggunakan Teknik Debridement Invasi Minimal pada Penderita Spondilitis Tuberkulosis Torakal Umur 2 Tahun

Tuberculous spondylitis is spinal infection caused by Mycobacterium tuberculosis. The disease can be found in the society of any age. Tuberculous spondylitis in children have unique deformity problem which makes it a serious problem. This is because the immune system and the skeletal structure of children is still not fully developed and thus, vulnerable to infection. Massive destruction of the vertebral body and the intact posterior column is the reason for maintaining the structure and stability of the spine in children. This should be considered in determining the modalities of management. The conventional
technique of anterior approach is chosen for the attempt to reach spine lesions. Therefore, debridement, abscess evacuation and strut graft mounting for bone support were done. The development of this technique leads to other problem in pediatric application, which is the collapse of the vertebral body. Another technique that can be applied is to perform laminectomy via posterior approach, which potentially resulting in increasingly unstable spine and also postural deformities. This Study reported evaluation of 2 years old child with spondylitis tuberculosis who had undergone column posterior preservation technique with minimal invasive debridement. One year evaluation shows that this technique stabilize the spine adequately and minimalize bleeding and recovery time.