Anterior instrumentation for the treatment of tuberculotic spinal deformity / 中华外科杂志
Chinese Journal of Surgery
;
(12): 292-295, 2003.
Artigo
em Chinês
| WPRIM
| ID: wpr-300063
ABSTRACT
<p><b>OBJECTIVES</b>To summarize the clinical results in the treatment of spinal tuberculosis with debridement, bone grafting and anterior fixation and to evaluate the safety and the value of this procedure.</p><p><b>METHODS</b>From June 1997 to May 2001, 18 patients with spinal tuberculosis were treated using anterior debridement, autograft of bone and primary internal instrumentation. They were 8 men and 10 women, aged from 25 to 59 years (mean 41 years). The degree of kyphosis before surgery was 27.0 degrees to 75.5 degrees (mean 47.5 degrees +/- 11.4 degrees ). The involved spines included cervical spine (1 patient), thoracic spine (10), thoracic-lumbar spine (2), and lumbar spine (5). Average 2.8 intervertebral bodies in each patient were afflicted with tuberculosis disease. Spinal fusions were done with iliac bone grafts.</p><p><b>RESULTS</b>All patients were followed up for an average of 25 months. No deep wound infection and sinus were observed after surgery. The grafted bones were fused in all patients with an average time of 3.6 months. The degree of spine kyphosis correction was 32.7 degrees +/- 8.3 degrees, and 3.2 degrees +/- 2.8 degrees was lost on average in the late stage.</p><p><b>CONCLUSION</b>Anterior instrumentation for spinal tuberculosis could stabilize the spine, correct kyphosis and fuse the grafted bone.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fusão Vertebral
/
Cirurgia Geral
/
Tuberculose da Coluna Vertebral
/
Estudos Retrospectivos
/
Seguimentos
/
Fixadores Internos
/
Transplante Ósseo
/
Resultado do Tratamento
/
Desbridamento
/
Cifose
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2003
Tipo de documento:
Artigo
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