Transcervical tuberculosis

Applicable to cervical spine 3 to 7 tuberculosis. Notes on transcervical tuberculosis lesion removal: 1. When treating cervical veins, they should be ligated and then cut off to prevent air from entering and forming air embolism. 2. There are many blood vessels and nerves in the neck. Be familiar with the anatomy before surgery. During the operation, the field must be kept clear and separated by levels. The operation is meticulous and lightweight to avoid damage. In case of damage to the blood vessels, the common carotid artery should be compressed immediately, the blood should be exhausted, and the damaged area should be treated before being treated. Do not clamp blindly. When separating the upper part of the sternocleidomastoid muscle, there are auxiliary nerves obliquely running from the inside to the outside on the back side. Care must be taken to avoid injury. There is a descending portion of the recurrent laryngeal nerve in the carotid sheath. The ascending portion of the recurrent laryngeal nerve rises between the trachea and esophagus. It should be light when pulled to avoid injury. The anterior vertebral fascia and abscess wall should be cut in front of the median so as not to damage the sympathetic ganglia and chains of the outer edge of the cervical longus muscle [injury will cause horner syndrome], the sacral nerve in front of the anterior oblique muscle, and the back of the muscle Vertebral artery, brachial plexus nerve. 3. When removing the lesion, care should be taken to avoid injury to the spinal cord: ① Generally, the bone sinus canal can be enlarged with pointed bone bite forceps or laminar bite forceps, and bone chisels should not be used behind the vertebral body; Push the dead bone or necrotic disc tissue into the spinal canal; ③ The removal of dead bones is shallow and deep, and should be performed under direct vision. The depth must be strictly controlled and must not exceed the vertebral body.