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Posterior versus anterior approach surgery for thoracolumbar spinal tuberculosis
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2019; 29 (2): 187-188
in English | IMEMR | ID: emr-202939
ABSTRACT
The aim of this study was to compare clinical effect of posterior approach and anterior approach surgery for patients with thoracolumbar spinal tuberculosis. It was a descriptive, analytical study carried out at the Third People's Hospital of Shenzhen City, China, from March 2012 to March 2015. A total of 84 patients with thoracolumbar spinal tuberculosis were randomly divided into group A and group B, each group having 42 patients. Group A was treated with posterior approach surgery, while group B was treated with anterior approach surgery. The results showed that operation time, bleeding condition, length of stay of group A were lower than those of group B [p<0.001, p<0.001 and p=0.013, respectively]. Compared with group B, the Cobb angle of group A after surgery was lower [p<0.001]. At the 28th day after treatment, the serum bone alkaline phosphatase [BAP], bone gla protein [BGP], procollagen type I carboxy terminal peptide [CTX] levels of group A were lower than those of group B [p<0.001, p<0.001 and p=0.002, respectively]. As compared to anterior approach surgery, posterior approach surgery was an effective method to treat thoracolumbar spinal tuberculosis and reduce serum levels of BAP, BGP and CTX
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Index: IMEMR (Eastern Mediterranean) Language: English Journal: J. Coll. Physicians Surg. Pak. Year: 2019

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Index: IMEMR (Eastern Mediterranean) Language: English Journal: J. Coll. Physicians Surg. Pak. Year: 2019