Posterior surgical therapy of ankylosing spondylitis with spinal tuberculosis: A case collection and long-term follow-up.
Medication (Baltimore). 2018 Aug;97(34):e11925
Authors: Yin XH, Liu SC, Yang M, He BR, Liu ZK, Hao DJ
This retrospective cohort examine aimed to judge the medical outcomes of posterior surgical therapy of ankylosing spondylitis (AS) with spinal tuberculosis (STB). This was a retrospective examine together with 12 sufferers handled between January 2004 and April 2014 for AS with STB at our division. All sufferers underwent 1-stage posterior inner fixation, debridement, and bone fusion. The sufferers have been evaluated primarily based on the American Spinal Harm Affiliation (ASIA), kyphotic Cobb angle, and the visible analog rating (VAS). All sufferers have been adopted up for a mean of 42.7?±?13.2 months after surgical procedure and bone fusion was achieved 6.eight?±?1.three months. Based on ASIA, 2 instances have been rated as Grade D, 10 instances have been Grade E eventually follow-up. The typical preoperative Cobb angle was 26.7?±?7.6° (vary 15-36) and the typical postoperative Cobb angle was 7.eight?±?1.2° (vary 6-9). The imply newest follow-up Cobb angle was 9.1?±?1.zero° (vary 6-10). In contrast with the typical preoperative Cobb angle, there have been vital variations concerning the kyphotic Cobb angle measured postoperatively and at remaining follow-up (P?<?.05). The VAS considerably was significantly improved between the preoperative and the final medical visits. These constructive outcomes reveal that 1-stage surgical therapy for AS with STB by posterior debridement, fusion, and instrumentation will be an efficient and possible therapy methodology for this particular situation. It needs to be famous that it’s essential to hold out antiosteoporosis therapy and carry out long-segmental instrumentation in an effort to acquire spinal stabilization.
PMID: 30142806 [PubMed – indexed for MEDLINE]