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Debridement, interbody graft utilizing titanium mesh cages, posterior instrumentation and fusion within the surgical therapy of multilevel noncontiguous spinal tuberculosis in aged sufferers by way of a posterior-only.
Harm. 2017 Feb;48(2):378-383
Authors: Wang YX, Zhang HQ, Li M, Tang MX, Guo CF, Deng A, Gao Q, Wu JH, Liu JY
Summary
PURPOSE: To analyse the efficacy and feasibility of surgical administration for aged sufferers with multilevel non-contiguous spinal tuberculosis(MNSTB)through the use of one-stage posterior focus debridement, interbody graft utilizing titanium mesh cages, posterior instrumentation and fusion.
METHODS: From September 2009 to October 2013, 15 aged sufferers with MNSTB had been handled with one-stage posterior focus debridement, interbody graft utilizing titanium mesh cages, posterior instrumentation and fusion. There have been 10 males and 5 females with a imply age of 63.2 years (vary: 60-68 years) on the time of surgical procedure. The imply follow-up time was 40 months(vary 26-68 months). Sufferers had been evaluated earlier than and after surgical procedure when it comes to erythrocyte sedimentation fee(ESR), neurological standing, ache and kyphotic angle.
RESULTS: The spinal tuberculosis was utterly cured, and the grafted bones had been fused in all 15 sufferers. There have been no recurrent tuberculous infections. The ESR reached a standard stage inside three months in all sufferers. The ASIA neurological classification improved in all instances, and ache reduction was reported by all sufferers. The common preoperative kyphosis was 20.1° (vary Eight-38°) and decreased to 7.6° (vary 1-18°) postoperatively. There was no vital lack of the correction on the newest follow-up.
CONCLUSIONS: Our outcomes confirmed that one-stage posterior focus debridement, interbody graft utilizing titanium mesh cages, posterior instrumentation and fusion was an efficient therapy for aged sufferers with MNSTB. It’s characterised by minimal surgical trauma, good neurological restoration, and good correction of kyphosis.
PMID: 28063678 [PubMed – indexed for MEDLINE]