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Selection of bone graft type for the surgical treatment of thoracolumbar spinal tuberculosis based on the spinal instability neoplastic score: a retrospective single-center cohort study.
Huang, Tianji; Han, Zhenghan; Luo, Wei; He, Bin; Zhu, Yong; Zhao, Zenghui.
Afiliación
  • Huang T; Department of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People's Republic of China.
  • Han Z; Orthopedic Laboratory of Chongqing Medical University, Chongqing, 400016, People's Republic of China.
  • Luo W; Department of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People's Republic of China.
  • He B; Orthopedic Laboratory of Chongqing Medical University, Chongqing, 400016, People's Republic of China.
  • Zhu Y; Department of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People's Republic of China.
  • Zhao Z; Orthopedic Laboratory of Chongqing Medical University, Chongqing, 400016, People's Republic of China.
BMC Musculoskelet Disord ; 24(1): 520, 2023 Jun 24.
Article en En | MEDLINE | ID: mdl-37355564
OBJECTIVES: This study aimed to establish a standard for selecting bone graft type for thoracolumbar spinal tuberculosis surgery based on the spinal instability neoplastic score (SINS). METHODS: Patients with thoracolumbar tuberculosis who underwent one-stage debridement posteriorly and instrumentation were divided into a structural bone graft group (SBG) (51 cases) and a non-structural bone graft group (NSBG) (54 cases) according to their SINS. SBG was performed when the SINS was ≥ 13 and NSBG was performed when it was 7 ≤ SINS ≤ 12. Baseline data, clinical outcomes, and imaging outcomes were collected and statistically analyzed between the two groups. RESULTS: Significant improvements in clinical and imaging outcomes were achieved in both groups. Compared to the SBG group, the operation time of the NSBG group was shorter, the intraoperative blood loss of the NSBG group was less, the bone fusion time of the NSBG group was faster. CONCLUSION: Non-structural and structural bone grafting can achieve comparable therapeutic effects in patients with spinal tuberculosis, and a suitable selection of bone grafts based on quantitative SINS will make full use of the advantages of different bone grafts.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Fusión Vertebral / Tuberculosis de la Columna Vertebral Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2023 Tipo del documento: Article

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Fusión Vertebral / Tuberculosis de la Columna Vertebral Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2023 Tipo del documento: Article