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One-stage posterior transpedicular debridement, hemi-interbody and unilateral-posterior bone grafting, and instrumentation for the treatment of thoracic spinal tuberculosis: a retrospective study – Lumbar Fusion

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This article discusses a study that investigated the clinical efficacy and feasibility of surgical treatment for thoracic spinal tuberculosis. The study examined the outcomes of 56 patients who underwent one-stage posterior instrumentation, transpedicular debridement, and hemi-interbody and unilateral posterior bone grafting. The results showed that none of the patients experienced significant surgery-related complications, and 92% of patients with neurological impairment showed improvement at the last follow-up. The study also found significant improvements in thoracic kyphotic angle and pain levels, as well as successful bone fusion in all patients. The article concludes that these surgical techniques are effective and feasible for treating thoracic spinal tuberculosis

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

S: One-stage posterior transpedicular debridement, hemi-interbody and unilateral posterior bone grafting, and instrumentation are effective and feasible treatment methods for thoracic spinal tuberculosis.

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Acta Neurochir (Wien). 2024 Feb 5;166(1):65. doi: 10.1007/s00701-024-05966-7.ABSTRACTPURPOSE: To investigate the clinical efficacy and feasibility of the surgical treatment of thoracic spinal tuberculosis using one-stage posterior instrumentation, transpedicular debridement, and hemi-interbody and unilateral posterior bone grafting.METHODS: Fifty-six patients with thoracic spinal tuberculosis who underwent surgery performed by a single surgeon between September 2009 and August,

Acta Neurochir (Wien). 2024 Feb 5;166(1):65. doi: 10.1007/s00701-024-05966-7.

ABSTRACT

PURPOSE: To investigate the clinical efficacy and feasibility of the surgical treatment of thoracic spinal tuberculosis using one-stage posterior instrumentation, transpedicular debridement, and hemi-interbody and unilateral posterior bone grafting.

METHODS: Fifty-six patients with thoracic spinal tuberculosis who underwent surgery performed by a single surgeon between September 2009 and August 2020 were enrolled in this study. Based on data from the erythrocyte sedimentation rate (ESR), Visual Analog Scale (VAS), and Cobb angle before surgery, after surgery, and at the most recent follow-up, clinical effectiveness was assessed using statistical analysis. The variables investigated included operating time, blood loss, complications, neurological function, and hemi-interbody fusion.

RESULTS: None of the patients experienced significant surgery-associated complications. At the last follow-up, 23 of the 25 patients (92%) with neurological impairment showed improvement. The thoracic kyphotic angle was significantly decreased from 24.1 ± 9.9° to 13.4 ± 8.6° after operation (P < 0.05), and the angle was 14.44 ± 8.8° at final follow-up (P < 0.05). The Visual Analog Scale significantly decreased from 6.7 ± 1.4 preoperatively to 2.3 ± 0.8 postoperatively (P < 0.05) and finally to 1.2 ± 0.7 at the last follow-up (P < 0.05). Bone fusion was confirmed in 56 patients at 3-6 months postoperatively.

S: One-stage posterior transpedicular debridement, hemi-interbody and unilateral posterior bone grafting, and instrumentation are effective and feasible treatment methods for thoracic spinal tuberculosis.

PMID:38315247 | DOI:10.1007/s00701-024-05966-7

The London Spine Unit : most specialised treatment clinic in London

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One-stage posterior transpedicular debridement, hemi-interbody and unilateral-posterior bone grafting, and instrumentation for the treatment of thoracic spinal tuberculosis: a retrospective study

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Acta Neurochir (Wien). 2024 Feb 5;166(1):65. doi: 10.1007/s00701-024-05966-7.ABSTRACTPURPOSE: To investigate the clinical efficacy and feasibility of the surgical treatment of thoracic spinal tuberculosis using one-stage posterior instrumentation, transpedicular debridement, and hemi-interbody and unilateral posterior bone grafting.METHODS: Fifty-six patients with thoracic spinal tuberculosis who underwent surgery performed by a single surgeon between September 2009 and August

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