Computed Tomography-Guided Catheterization Drainage to Remedy Spinal Tuberculosis With Individualized Chemotherapy.
Orthopedics. 2017 Might 01;40(three):e443-e449
Authors: Li J, Huang X, Chen F, Dai F, Zhou Q, Luo F, Xu J, Zhang Z
The purpose of this examine was to analyze the impact of individualized chemotherapy delivered by way of percutaneous catheter drainage on paravertebral abscesses in spinal tuberculosis (TB). Information from 48 sufferers with spinal TB with paravertebral abscesses who acquired individualized chemotherapy by way of computed tomography-guided catheterization between 2009 and 2012 have been retrospectively analyzed. The paravertebral abscesses affected the thoracic vertebra (n=12), the lumbar backbone (n=20), the thoracolumbar vertebra (n=10), and the lumbosacral (n=6). All sufferers achieved medical therapeutic with no recurrence. Erythrocyte sedimentation fee and visible analog scale scores decreased considerably by the endpoint of follow-up. Though C-reactive protein values elevated barely proper after remedy, they have been additionally considerably decrease ultimately follow-up. The kyphotic angle and Oswestry Incapacity Index values additionally exhibited important decreases. No neurologic perform impairment was reported. Computed tomography-guided catheterization for steady administration of individualized chemotherapy was a secure and efficient remedy for spinal TB with paravertebral abscesses within the cohort examined, and thus, it warrants additional examine. [Orthopedics. 2017; 40(3):e443-e449.].
PMID: 28112788 [PubMed – indexed for MEDLINE]