The outcome of kyphosis tuberculosis treated with one stage reconstruction surgery. A case series
| Autor: | Asrafi Rizki Gatam, Aji Antoro, Luthfi Gatam, Fachrisal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Kyphosis One stage medicine.disease Kyphotic deformity Posterior approach Article Reconstruction surgery Surgery 03 medical and health sciences Anterior column reconstruction 0302 clinical medicine Blood loss Tuberculosis treated 030220 oncology & carcinogenesis Medicine Modified lateral extracavitary approach 030211 gastroenterology & hepatology Stage (cooking) business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Kyphotic deformity is common and can be associated with considerable morbidity. • Vertebral resection and reconstruction have been shown to preserve neurological function and decrease pain. • Two-stage, combined anterior and posterior approaches are performed to surgically address significant vertebral kyphotic. • The modified lateral extracavitary approach for reconstruction and instrumentation is an alternative to standard approach. Introduction Commonly, two stage combined anterior - posterior approaches were performed to treat significant kyphotic deformity, but potentially increase morbidity level. Recently, single - stage posterior approach for anterior column reconstruction have shown sagittal alignment improvement. The objective of this study is to describe a series of kyphotic deformity patients whom were treated using modified lateral extracavitary approach for anterior column reconstruction and posterior instrumentation. Methods Data collected from all kyphotic deformity patients whom treated with modified lateral extracavitary approach between 2016 until 2017 and this research work has been reported in line with the PROCESS criteria. In addition this technique could address kyphotic correction. Results 7 patients were reported, 4 males and 3 females with local and regional kyphotic more than 40 degrees. Procedures performed mostly on the right side to avoid the aorta with approximately 2 cm of the rib distal to the transverse processes. The average estimated blood loss and length of surgery were 1280 ml and 3.9 h. None of the patient had neurological deficit, and all of them have shown kyphotic improvement. Conclusion The modified lateral extracavitary approach for anterior column reconstruction and posterior instrumentation is a viable alternative to the standard combined approach. This approach continues to evolve as instrumentation development and possesses significant advantages. |
| Databáze: | OpenAIRE |
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