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Efficacy of posterior fixation and bone graft fusion for treatment of lumbar brucellosis spondylitis – Lumbar Fusion

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This article presents a retrospective study that aimed to determine if patients with single-segment lumbar Brucella spondylitis can be effectively treated through posterior fixation and bone grafting alone, without the need for debridement. The study analyzed clinical data and imaging results of 63 patients and categorized them into two groups: one that underwent debridement (group B) and one that did not (group A). The results showed that group A had shorter operation times, less blood loss, and shorter hospital stays compared to group B. However, there were no significant differences in other measures such as pain scores, improvement of treatment score, and bone fusion rate between the two groups. In , the study suggests that posterior fixation and bone graft fusion can be successful treatments for early-stage lumbar brucellosis spondylitis even without debridement, offering advantages such as minimal trauma and favorable recovery outcomes

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Published article

The purpose of this study is to verify whether early stage patients with single-segment lumbar Brucella spondylitis can still be cured through simple posterior fixation and bone grafting, even without debridement. A retrospective study was conducted on 63 patients diagnosed with single-segment lumbar brucellosis spondylitis, who underwent posterior-only debridement (or not), bone grafting, and instrumentation from June 2016 to June 2019. Group A comprised 34 patients who did not undergo…

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Medicine (Baltimore). 2023 Dec 15;102(50):e36577. doi: 10.1097/MD.0000000000036577.ABSTRACTThe purpose of this study is to verify whether early stage patients with single-segment lumbar Brucella spondylitis can still be cured through simple posterior fixation and bone grafting, even without debridement. A retrospective study was conducted on 63 patients diagnosed with single-segment lumbar brucellosis spondylitis, who underwent posterior-only debridement,

Medicine (Baltimore). 2023 Dec 15;102(50):e36577. doi: 10.1097/MD.0000000000036577.

ABSTRACT

The purpose of this study is to verify whether early stage patients with single-segment lumbar Brucella spondylitis can still be cured through simple posterior fixation and bone grafting, even without debridement. A retrospective study was conducted on 63 patients diagnosed with single-segment lumbar brucellosis spondylitis, who underwent posterior-only debridement (or not), bone grafting, and instrumentation from June 2016 to June 2019. Group A comprised 34 patients who did not undergo debridement, while group B comprised 29 patients who underwent debridement. The clinical data and imaging results of the patients were compared between the 2 groups to evaluate the clinical effects of debridement or not. Both groups of patients completed at least 1 year of follow-up. The group A had significantly lower values for operation time, blood loss, and hospital stay compared to the group B (P < .05). There were no significant differences between the 2 groups in terms of erythrocyte sedimentation rate, C-reactive protein, visual analogue scores, improvement of Japanese Orthopaedic Association Evaluation of treatment score, and Cobb angle. The bone fusion rate was 92% (31 patients) in group A and 96% (28 patients) in group B, with no significant difference between the 2 groups (P > .05). In summary, these findings suggest that posterior fixation and bone graft fusion are effective treatments for single-segment lumbar brucellosis spondylitis in early stages even without debridement. Importantly, these procedures offer several benefits, such as minimal trauma, short operation times, rapid postoperative recovery, and favorable bone graft fusion outcomes.

PMID:38115351 | DOI:10.1097/MD.0000000000036577

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Efficacy of posterior fixation and bone graft fusion for treatment of lumbar brucellosis spondylitis

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Medicine (Baltimore). 2023 Dec 15;102(50):e36577. doi: 10.1097/MD.0000000000036577.ABSTRACTThe purpose of this study is to verify whether early stage patients with single-segment lumbar Brucella spondylitis can still be cured through simple posterior fixation and bone grafting, even without debridement. A retrospective study was conducted on 63 patients diagnosed with single-segment lumbar brucellosis spondylitis, who underwent posterior-only debridement

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