Takaaki Sagara

A Case Report of Tuberculosis of the Cervical Spine with the Barré-Liéou Syndrome

Tuberculosis of the cervical spine is uncommon to arise in the whole apine. We report a case of tuberculous cervical spondylitis with Barre-Lieou syndrome.The case was a 61 year old female, who complained of mild muscle weakness and strong dizziness at motion, headache, nausea, so called Barre-Lieou syndrome. MRI showed rim enhancement of the retropharyngeal soft tissue and peridural abscess. We therefore performed the operation of curretage and anterior spinal body fusion by use of autogenous fibula bone, adding the chemotherapy of INH, RFP and SM. She gradually recovered from Barre-Lieou syndrome.The origin of Barre-Lieou syndrome in this case was unsidered the source of the irritation of the vertebral nerve by tuberculous abscess.

Results of Surgical Treatment for Lumbosacral Radiculopathy of Lumbar Spinal Stenosis

This study investigated the operative results of the lumbosacral radiculopathy of lumbar canal stenosis. 24 cases were treated by surgery 9 cases received fenestration, 8 cases also received wide laminectomy, and in addition 7 cases received lumbar segmental fusion by instrumentation. The mean age at the time of surgery was 69.8 years (ragne; 56 to 81 years). The mean duration of follow-up was 23 months (range; 12 to 31 months).The clinical results were evaluated by the JOA score, and the recovery rate was determined by Hirabayashis method, and by the recovery ratio of radiculopathy symptoms, pain and dysesthesia of the lower extremities. The preoperative mean JOA score was 14.5 points, which changed to 20.5 points at the final check, and the mean recovery rate was 42.7%. The recovery ratio of radiculopathy pain shows a tendency to decrease as the number of decompressed intervertebral segments increase.