Minimum 5-year follow-up outcomes for single-stage transpedicular debridement,posterior instrumentat

来源 :第三届全国脊柱结核诊疗新技术研讨会暨2017年湖南省医学会脊柱外科专业委员会年会 | 被引量 : 0次 | 上传用户:zhan99zhan
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
  Aim: The aim of this retrospective clinical study is to evaluate the long-term outcomes for single-stage transpedicular debridement,posterior instrumentation and fusion in the management of thoracic and thoracolumbar spinal tuberculosis in adults.Methods: Fifty-nine adult patients with thoracic and thoracolumbar spinal tuberculosis underwent single-stage transpedicular debridement,posterior instrumentation and fusion.These patients were followed for a minimum of S years.Patients were assigned to one of two groups according to the infected anatomic seg-ment.In the thoracic spinal tuberculosis group,there were 28 cases (17 males,11 females) with a mean age of 38.9 years;in the thoracolumbar spinal tuberculosis group,there were 31 cases (19 males,12 females) with a mean age of 40.3 years.All cases were evaluated clinically using the visual analog scale (VAS),Kirkaldy-Willis criteria and the American Spinal Injury Association (ASIA) impairment scale.Radiographs were performed for measuring the angle of kyphosis and scoliosis.Complications related to surgery were recorded.Results: All patients successfully resolved their infections,experienced one or more ASIA grades of improvement,and improved in their VAS pain scores at final follow-up.In both groups,patient-reported outcomes reached over 9096 excellent or good results using Kirkaldy-Willis criteria.The loss of kyphotic angle correction was 2.6° in the thoracic spinal tuberculosis group and 32° in the thoracolumbar spinal tuberculosis group.No scoliosis was observed in either group.Fifty-eight (983%) cases achieved solid bony fusion.In the thoracolumbar spinal tuberculosis group,one patient experienced screw loosening,and another patient with nonunion and rod breakage underwent revision surgery.Conclusions: The technique of single-stage transpedicular debridement,posterior instrumentation and fusion is an effective method for the treatment of thoracic and thoracolumbar spinal tuberculosis in adults.Long-term postoperative clinical and radiological outcomes were satisfactory.
其他文献
随着HIV肆虐和免疫系统缺陷患者的增加,结核病在世界范围内有明显增加趋势,使脊柱结核这一特殊类型的结核成为一个古老而又“新兴”的疾病.基于我国庞大的人口基数,占全身骨关节结核首位的脊柱结核患者人数众多是相当严酷的现实.该病如诊治不及时,极易累及椎管,产生脊髓、神经压迫,截瘫率高达10%左右.近10年来脊柱结核的外科治疗水平有了显著提高,实践证明,在全身抗结核药物治疗的基础上,结合外科手术是治疗脊柱
Purpose: To analyse the efficacy and feasibility of surgical management for elderly patients with multilevel non-contiguous spinal tuberculosis(MNSTB)by using one-stage posterior focus debridement,int
Purpose We present a retrospective study of patients with multilevel contiguous tuberculous spondylitis of thoracic region that underwent single-stage posterolateral debride-ment and fusion and follow
Surgical treatment for spinal tuberculosis includes focal tuberculosis debridement,segmental stability reconstruction,neural decompression and kyphotic deformity correction.For the lesions mainly invo
Objective.To assess the minimum 5-year follow up outcomes of the surgical management of adults with thoracic tuberculosis by comparing posterior only (PO),anterior only (AO),and combined posterior and
Objective The purpose of this study is to investigate the clinical efficacy and feasibility of one-stage posterior focus debride-ment,fusion,and instrumentation in the surgical treatment of lumbar spi
Purpose Aged patients represent a high risk group for acquir-ing spinal tuberculosis,and it still remains a leading cause of kyphosis and paraplegia in developing nations.Aged patients often combined
Purpose There are few papers in the literature comparing out-comes between antero-posterior and posterior-only ap-proaches for treating thoracolumbar tuberculosis (T10-L2) in children Methods We perfo
Purpose The purpose of this study was to determine the effi-cacy and feasibility of surgical management of children with thoracolumbar spine tuberculosis with kyphosis by using one-stage posterior foc
Objective: The current study compared clinical outcomes of two diverse therapeutic strategies for upper thoracic (T1-4) spinal tuberculosis with neurological deficits in elderly patients.Methods: A re