[Debridement, internal fixation, and reconstruction with titanium mesh for the surgical treatment of lumbar tuberculosis via a posterior-only approach in adults].
Zhongguo Gu Shang. 2017 Might 25;30(5):406-410
Authors: Guo CF, Zhang HQ, Gao QL, Liu JY, Wu JH
OBJECTIVE: To analyze the scientific results, indications and key methods of debridement, inside fixation, and reconstruction with titanium mesh in lumbar tuberculosis by way of a posterior-only strategy in adults.
METHODS: The scientific knowledge of 26 sufferers with monosegment lumbar tuberculosis handled with surgical procedure from March 2012 to March 2014 was retrospectively analyzed. Amongst them, 15 circumstances had been male and 11 circumstances had been feminine, and sufferers’ age ranged from 21 to 68 years outdated (common, 44.7 years outdated). All sufferers suffered from again ache and/or ache with radiation to the legs. The scientific efficacy was evaluated based mostly on the issues, erythrocyte sedimentation fee (ESR), imaging examination, and again and leg ache rating of visible analogue scale (VAS).
RESULTS: All operations had been profitable in 26 sufferers with a median operation time of (2.four±zero.eight) h (vary from 2 to four h), with a median blood lack of (320±86) ml(vary from 200 to 700 ml) .VAS was decreased from (5.7±1.four) factors preoperatively to (1.6±zero.5) factors 2 weeks postoperatively (P<zero.01); and ESR was decreased from (42.eight±10.four)mm/h preoperatively to (12.1±5.6)mm/h three months after surgical procedure (P<zero.01). All of the sufferers had been adopted up for 24 to 48 months with a median of(28.three±5.eight) months. One sufferers suffered from the recurrence of TB and sinus tract formation at 2 months after surgical procedure, and was cured by stronger anti-tuberculosis medicine, native debridement with drainage, and sinus tract healed at three months after operation. All intervertebral bone graft obtained fusion inside 1 yr after operation and no native recurrence of TB was discovered at closing follow-up.
CONCLUSIONS: Debridement, inside fixation, and reconstruction with titanium mesh by way of a posterior-only strategy is a efficient and protected technique for the therapy of monosegment lumbar tuberculosis, particularly for the sufferers with secondary spinal stenosis.
PMID: 29417770 [PubMed – in process]