Minimally invasive direct lateral interbody fusion in the treatment of the thoracic and lumbar spinal tuberculosisMini-DLIF for the thoracic and lumbar spinal tuberculosis
Autor: | Haitao Tan, Ying Li, Jianzhong Jiang, Guoping Chen, Zhaolin Xie, Shengbin Huang, Fengping Gan |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Adult
Male medicine.medical_specialty Time Factors lcsh:Diseases of the musculoskeletal system Sports medicine Visual analogue scale medicine.medical_treatment Antitubercular Agents Bone grafting Thigh Thoracic Vertebrae 03 medical and health sciences 0302 clinical medicine Lumbar Rheumatology Minimally invasive surgery Internal medicine medicine Humans Minimally Invasive Surgical Procedures Orthopedics and Sports Medicine Direct lateral interbody fusion (DLIF) 030212 general & internal medicine Aged Thoracic and lumbar spinal tuberculosis Bone Transplantation Lumbar Vertebrae business.industry Recovery of Function Middle Aged Magnetic Resonance Imaging Surgery Spinal Fusion Treatment Outcome medicine.anatomical_structure Debridement Orthopedic surgery Thoracic vertebrae Female Tuberculosis Spinal lcsh:RC925-935 Tomography X-Ray Computed business 030217 neurology & neurosurgery Research Article |
Zdroj: | BMC Musculoskeletal Disorders, Vol 19, Iss 1, Pp 1-8 (2018) BMC Musculoskeletal Disorders |
ISSN: | 1471-2474 |
Popis: | Background To investigate the clinical efficacy of minimally invasive direct lateral approach debridement, interbody bone grafting, and interbody fusion in the treatment of the thoracic and lumbar spinal tuberculosis. Methods From January 2013 to January 2016, 35 cases with thoracic and lumbar spinal tuberculosis received direct lateral approach debridement, interbody bone grafting, and interbody fusion. Of the 35 cases, 16 patients were male and 19 were female and the median age was 55.2 (range 25–83). The affected segments were single interspace, and the involved vertebral bodies included: 15 cases of thoracic vertebrae (1 cases of T5/6, 2 cases of T6/7, 4 cases of T7/8, 3 cases of T8/9, 5 cases of T9/10) and 20 cases of lumbar spine (2 cases of L1/2, 6 cases of L2/3, 6 cases of L3/4, 6 cases of L4/5). After MIDLIF operation, all the patients received medication of four anti-tubercular drugs for 12 to18 months. Results The patients were followed up for 7 to 40 months with an average of 18.5 months. The visual analogue scale (VAS) at the last follow-up was 2.8 ± 0.5, which was significantly different from the preoperative VAS (8.2 ± 0.7). After MIDLIF, there was 5 cases occurred with transient numbness in one side of the thigh or inguinal region, and 10 cases suffered from flexion hip weakness. All the bone grafts were fused within 6~ 18 months (average of 11.5 months) after the operation. Conclusion Minimally invasive lateral approach interbody fusion technology have the advantage of less injury and quick recovery after surgery, which is the effective and safe treatment for thoracic and lumbar spinal tuberculosis. |
Databáze: | OpenAIRE |
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