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One-stage posterior transpedicular debridement, hemi-interbody and unilateral-posterior bone grafting, and instrumentation for the treatment of thoracic spinal tuberculosis: a retrospective study.
Liu, Yan; Liu, Qingshan; Duan, Xuzhou; Wang, Wentao; Pu, Lianjie; Luo, Beier; He, Dawei.
Afiliación
  • Liu Y; Department of Orthopedics, Shanghai Changhai Hospital, 168 Changhai Road, Shanghai, 200433, People's Republic of China.
  • Liu Q; Department of Orthopedics, Shanghai Changhai Hospital, 168 Changhai Road, Shanghai, 200433, People's Republic of China.
  • Duan X; Department of Orthopedics, Shanghai Changhai Hospital, 168 Changhai Road, Shanghai, 200433, People's Republic of China.
  • Wang W; Department of Orthopedics, Shanghai Changhai Hospital, 168 Changhai Road, Shanghai, 200433, People's Republic of China.
  • Pu L; Department of Orthopedics, Shanghai Changhai Hospital, 168 Changhai Road, Shanghai, 200433, People's Republic of China.
  • Luo B; Department of Orthopedics, Shanghai Changhai Hospital, 168 Changhai Road, Shanghai, 200433, People's Republic of China.
  • He D; Department of Orthopedics, Shanghai Changhai Hospital, 168 Changhai Road, Shanghai, 200433, People's Republic of China. hedawei2000@sina.com.
Acta Neurochir (Wien) ; 166(1): 65, 2024 Feb 05.
Article en En | MEDLINE | ID: mdl-38315247
ABSTRACT

PURPOSE:

To investigate the clinical efficacy and feasibility of the surgical treatment of thoracic spinal tuberculosis using one-stage posterior instrumentation, transpedicular debridement, and hemi-interbody and unilateral posterior bone grafting.

METHODS:

Fifty-six patients with thoracic spinal tuberculosis who underwent surgery performed by a single surgeon between September 2009 and August 2020 were enrolled in this study. Based on data from the erythrocyte sedimentation rate (ESR), Visual Analog Scale (VAS), and Cobb angle before surgery, after surgery, and at the most recent follow-up, clinical effectiveness was assessed using statistical analysis. The variables investigated included operating time, blood loss, complications, neurological function, and hemi-interbody fusion.

RESULTS:

None of the patients experienced significant surgery-associated complications. At the last follow-up, 23 of the 25 patients (92%) with neurological impairment showed improvement. The thoracic kyphotic angle was significantly decreased from 24.1 ± 9.9° to 13.4 ± 8.6° after operation (P < 0.05), and the angle was 14.44 ± 8.8° at final follow-up (P < 0.05). The Visual Analog Scale significantly decreased from 6.7 ± 1.4 preoperatively to 2.3 ± 0.8 postoperatively (P < 0.05) and finally to 1.2 ± 0.7 at the last follow-up (P < 0.05). Bone fusion was confirmed in 56 patients at 3-6 months postoperatively.

CONCLUSIONS:

One-stage posterior transpedicular debridement, hemi-interbody and unilateral posterior bone grafting, and instrumentation are effective and feasible treatment methods for thoracic spinal tuberculosis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fusión Vertebral / Tuberculosis de la Columna Vertebral Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Acta Neurochir (Wien) Año: 2024 Tipo del documento: Article Pais de publicación: Austria

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fusión Vertebral / Tuberculosis de la Columna Vertebral Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Acta Neurochir (Wien) Año: 2024 Tipo del documento: Article Pais de publicación: Austria