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Single posterior surgical administration for lumbosacral tuberculosis: titanium mesh versus iliac bone graft: A retrospective case-control research.
Medication (Baltimore). 2017 Dec;96(51):e9449
Authors: Yin XH, Liu ZK, He BR, Hao DJ
Summary
Lately, the one-stage posterior strategy for treating spinal tuberculosis (TB) has gained reputation. Nevertheless, massive bony defects after debridement stay a serious problem in posterior surgical procedure. The current retrospective research goals to check the scientific outcomes of posterior-only surgical administration by titanium mesh versus iliac bone grafts for treating lumbosacral TB. This was a retrospective cohort research. From January 2006 to April 2012, 36 sufferers with lumbosacral TB had been handled at our division. The 36 circumstances had been divided into 2 teams: 17 sufferers in Group A (titanium mesh) underwent one-stage posterior inside fixation, debridement, and titanium mesh bone fusion. The 19 sufferers in Group B (iliac bone graft) underwent posterior instrumentation, debridement, and iliac bone graft in a single process. The scientific and radiographic outcomes for the two teams had been analyzed and in contrast. The imply yr of sufferers was 49.9?±?15.four months in group A and 55.5?±?12.6 months in group B. All sufferers had been adopted up for a mean of 47.three?±?eight.1 months (vary 36-60 months). Spinal TB was fully cured and no intraspinal an infection and central nervous system issues of TB an infection occurred. Bone fusion was achieved 6.four?±?1.9 months in group A and seven.eight?±?2.1 months in group B. There was no important statistical distinction in bone fusion between the two teams (P?>?.05). The Oswestry Incapacity Index rating (ODI) considerably improved between the preoperative and the final go to in both group. Nevertheless, no important distinction was noticed between the two teams finally go to (P?>?.05). There have been important variations between teams relating to the postoperative lumbosacral angle and angle correction loss on the ultimate follow-up (P?<?.05). The typical operative complication price of Group A was lower than that of Group B. Each iliac bone and titanium mesh can successfully assemble anterior column defects in posterior surgical procedure. The titanium mesh has the benefit of minor surgical invasion, efficient reconstruction of enormous defects, and ideally suited sagittal alignment in lumbosacral TB for sufferers with osteoporosis and poor iliac bone high quality.
PMID: 29390579 [PubMed – in process]