Extended Posterior Decompression and Instrumented Fusion for Spinal Tuberculosis
| Autor: | Sombat Kunakornsawat, Nattaphon Philawuth, Chaiwat Piyaskulkaew, Pritsanai Pruttikul, Tinnakorn Pluemvitayaporn, Piyabuth Kittithamvongs |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Asian Spine Journal, Vol 13, Iss 6, Pp 984-991 (2019) |
| Druh dokumentu: | article |
| ISSN: | 1976-1902 1976-7846 |
| DOI: | 10.31616/asj.2018.0200 |
| Popis: | Study Design Retrospective cohort. Purpose To evaluate clinical outcomes, including pain and neurologic status, and to evaluate radiographic outcomes of patients treated with extended posterior decompression, posterior fixation, and fusion in different vertebral segments. Overview of Literature The standard surgical treatment of spinal tuberculosis is radical debridement via anterior approach. However, this approach may lead to several serious complications. Meanwhile, extended posterior approach, the posterior surgical approach, involving the removal of posterior elements, ribs, and pedicles, is an alternative option that can achieve the aims of treatment in this disease and may reduce the serious complications from anterior approach. Methods The medical records and imaging of 50 patients admitted with spinal tuberculosis from January 2010 to June 2016 were reviewed. The Visual Analog Scale (VAS), Frankel grading scale, and kyphotic Cobb angle between the pre- and postoperative periods were used to evaluate the patients. Results The patients had significant improvement of VAS score in all the groups. The T/T–L, L, and L–S group scores improved from 7.2±1.5 to 1.7±1.2 (p |
| Databáze: | Directory of Open Access Journals |
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