Single-stage anterior debridement, posterior instrumentation and global fusion in thoracic and thoracolumbar tubercular spondylodiscitis
| Autor: | Amool Ranjan Singh, B. Yogesh Kumar, S. P. Mohanty, M. Pai Kanhangad |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Spondylodiscitis medicine.medical_specialty Discitis Time Factors Tuberculosis medicine.medical_treatment Radiography Kyphosis Bone grafting Thoracic Vertebrae 03 medical and health sciences 0302 clinical medicine Medical Illustration Preoperative Care medicine Humans Orthopedics and Sports Medicine Retrospective Studies Observer Variation 030222 orthopedics Bone Transplantation Lumbar Vertebrae Debridement business.industry 030229 sport sciences medicine.disease Abscess Surgery Spinal Fusion Treatment Outcome Radiological weapon Orthopedic surgery Female Tuberculosis Spinal business |
| Zdroj: | MUSCULOSKELETAL SURGERY. 103:243-249 |
| ISSN: | 2035-5114 2035-5106 |
| Popis: | The present study evaluated the clinical and radiological outcomes in patients with tuberculosis of the thoracic and thoracolumbar spine, treated by an operative technique in which anterior debridement with posterior instrumentation and global fusion was performed through a single-stage posterior approach. Ninty-seven patients with spinal tuberculosis, between T1 and L1, in whom anterior debridement, bone grafting, with posterior instrumentation and fusion was performed through a single-stage posterior approach, with a minimum follow-up of 2 years, formed the basis of this study. During each follow-up, neurological recovery was assessed using modified American Spinal Injury Association grading, healing of the disease was assessed by appearance of sclerosis and interbody fusion and the degree of kyphotic deformity was analysed using the modified Konstam’s angle. Two hundred and twenty-six lesions were found in the radiographs of 97 patients with 28.9% of them having multiple lesions. The mean ± SD preoperative, post-operative, and 2-year follow-up kyphotic angle were 49.5 ± 18.4°, 22.6 ± 7.1° and 24.5 ± 7.6°, respectively, and showed significant kyphosis correction (P |
| Databáze: | OpenAIRE |
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