| Autor: |
Hao Zeng, Jinsong Yang, Simi Liao, Yingfang Liang, Abu Moro, Yufu Ou, Haixia Su, Gui Li, Dongling Wang, Guanghui Chen, Hongyu Qin |
| Rok vydání: |
2022 |
| DOI: |
10.21203/rs.3.rs-1207690/v2 |
| Popis: |
BackgroundThis study aims to explore the clinical efficacy of Wiltse approach transforaminal thoracic interbody fusion (TTIF) for the treatment of single-segment thoracic spinal tuberculosis in elderly patients with and osteoporosis and neurological deficits.MethodsThis is a retrospective analysis of 20 elderly patients who underwent Wiltse approach TTIF in our hospital from January 2017 to January 2019. The follow-up time was 37.15±7.37 months (range 24-48 months); and the preoperative kyphotic angle was 35.41±6.71°. The Frankel spinal cord injury classification was used to assess the degree of neurological deficit. Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are used to track the activity of tuberculosis (TB). While femoral neck bone mineral density measurement T value (BMD T) was used to assess the degree of osteoporosis.ResultThe 20 elderly patients with spinal tuberculosis (STB) were completely cured without recurrence. The postoperative kyphotic angle was 8.80±0.79°, without significant loss of correction at the last follow-up. Bone graft fusion was observed within 6-9 months with all patients reporting that their back pains were relieved. The neurological condition of all patients improved after the operation.ConclusionsWiltse TTIF treatment combined with anti-tuberculosis chemotherapy is adequate for obtaining satisfactory healing of single-segment thoracic tuberculosis in elderly patients with osteoporosis. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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