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Journal of Bone and Joint Surgery, 1943;25:340-350.
© 1943 by The Journal of Bone and Joint Surgery, Inc

THE BRIDGING OF THE VERTEBRAL BODIES IN TUBERCULOSIS OF THE SPINE

Robert Perlman M.D.1 and Joseph A. Freiberg M.D.1

1 Department of Orthopaedic Surgery, College of Medicine, University of Cincinnati; Division of Orthopaedic Surgery, Cincinnati General Hospital; and the Hamilton County Tuberculosis Hospital, Cincinnati

1. In a series of five cases of tuberculosis of the spine, four showed osseous bridging of vertebral bodies.

2. The fifth case showed abortive bony bridging which could not be considered to be actual spontaneous fusion.

3. The process described probably represents a reaction to irritation, with periosteal new-bone formation or ossification in ligamentous tissue, and is not evidence of a healing process.

4. In certain instances such bony bridging accomplishes fusion of vertebrae involved by tuberculosis as effectively as posterior surgical fusion.


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