Posterior-only Debridement, Internal Fixation, and Interbody Fusion Using Titanium Mesh in the Surgical Treatment of Thoracolumbar Tuberculosis With Spinal Epidural Abscess: A Minimum 5-year Follow-up
| Autor: | Manini Daudi Romani, Shaohua Liu, Chaofei Han, Mingxing Tang, Yu-Xiang Wang, Ang Deng, Hongqi Zhang, Qile Gao, Chaofeng Guo |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Posterior approach medicine.medical_specialty Sports medicine medicine.medical_treatment Kyphosis Diseases of the musculoskeletal system Thoracic Vertebrae Rheumatology Internal medicine Thoracolumbar Humans Medicine Internal fixation Orthopedics and Sports Medicine Retrospective Studies Titanium Lumbar Vertebrae Debridement Cobb angle business.industry Research Implant failure Middle Aged Surgical Mesh medicine.disease Titanium mesh Surgery Spinal Fusion Treatment Outcome Spine tuberculosis RC925-935 Epidural Abscess Orthopedic surgery Female Tuberculosis Spinal business Follow-Up Studies |
| Zdroj: | BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-7 (2021) BMC Musculoskeletal Disorders |
| DOI: | 10.21203/rs.3.rs-842428/v1 |
| Popis: | Objective To investigate the clinical efficacy and feasibility of posterior-only debridement, internal fixation, and interbody fusion using titanium mesh in the surgical treatment of thoracolumbar tuberculosis (TB) with spinal epidural abscess. Methods From January 2008 to January 2014, a total of 45 patients (27 male and 18 female) were reviewed. The patients were diagnosed with thoracolumbar TB with spinal epidural abscess. The patients underwent posterior-only debridement, internal fixation, and interbody fusion using titanium mesh. Hence, we assessed the intraoperative and postoperative complications, disease recurrences, kyphosis deformity correction, and neurological improvement following the American Spinal Injury Association (ASIA). We used SPSS 22.0 for the statistical analyses. An independent Student’s t-test was used for the analysis of preoperative and postoperative continuous variables. The value of P (P Results The mean age of patients was 37.76 ± 10.94 years (17–59 years). The mean follow-up time was 82.76 ± 12.56 months (60–128 months). The mean kyphosis Cobb angle preoperative was 29.36 ± 13.29° (5–55°) and postoperative was 3.58 ± 5.44° (− 6–13°), given the value of P (P Conclusion For thoracolumbar TB patients with spinal epidural abscess, posterior-only debridement, internal fixation, and interbody fusion using titanium mesh are safe and effective surgical treatments. |
| Databáze: | OpenAIRE |
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