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Single-stage posterior debridement and transforaminal lumbar interbody fusion with autogenous bone grafting and posterior instrumentation in the surgical management of lumbar tuberculosis

AIM: To describe a case series to highlight the clinical effectiveness of single-stage posterior debridement and transforaminal lumbar interbody fusion (TLIF) with autogenous bone grafting and posterior instrumentation in the surgical management of lumbar tuberculosis. METHODS: This case series involves 14 lumbar tuberculosis patients treated with the above given surgical procedure. The following parameters have been evaluated: visual analog scale (VAS) score, erythrocyte sedimentation rate (ESR) and C-reactive protein value, vertebral body loss, deformity angle, kyphotic angle, lumbar lordotic angle and fusion status of affected segment. The mean time of follow-up is 38.2 months (30-46). RESULTS: Significant improvement was found in all radiologic parameters, and significant decrease in VAS and ESR were noted after surgery. Bony fusion was seen in all cases within a mean time of 4.3 months (range 3-7 months). No postoperative instrumental complication and recurrence were noted. CONCLUSION: Single-stage posterior debridement and TLIF with autogenous bone grafting and posterior instrumentation is a safe and effective approach to treating with early-diagnosed and less-involved lumbar tuberculosis

Keywords : Adult,Bone Transplantation,C-Reactive Protein,China,Debridement,Female,Humans,instrumentation,Lumbar Vertebrae,Male,methods,Middle Aged,Recurrence,Retrospective Studies,Spinal Fusion,surgery,Time,Tuberculosis,Tuberculosis,Spinal,Young Adult,, Posterior,Debridement,Transforaminal,Lumbar, harley street underground

Date of Publication : 2011 Feb

Authors : Gong K;Wang Z;Luo Z;

Organisation : Institute of Orthopaedics and Traumatology of PLA of China, Xijing Hospital, The Fourth Military Medical University, Xi’an, Shaanxi, People’s Republic of China. gongkaizm@163.com

Journal of Publication : Arch Orthop Trauma Surg

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20556616

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Single-stage posterior debridement and transforaminal lumbar interbody fusion with autogenous bone grafting and posterior instrumentation in the surgical management of lumbar tuberculosis | Male physiotherapist

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