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Single-stage posterior instrumentation and anterior debridement for active tuberculosis of the thoracic and lumbar spine with kyphotic deformity

OBJECTIVE: The purpose of this study was to validate the efficacy and safety of single-stage posterior instrumentation and anterior debridement for treatment of active spinal tuberculosis with kyphotic deformity. METHOD: From January 2005 to January 2009, 13 males and 24 females were enrolled in this retrospective study. All patients underwent single-stage posterior instrumentation and fusion, combined with anterior radical debridement and bone grafting. Clinical and radiographic results were analysed. RESULTS: Patients were followed-up for 33.6 months on average. Bony fusion was achieved at six- to nine-month follow-up in all patients. The respective average kyphosis at the pre-operative and the last follow-up was 53.5 degrees and 12.6 degrees , with a mean correction of 40.9 degrees (78.5%). Neurologic recovery averaged 1.5 grades on the Frankel scale. No recurrence of tuberculosis or instrumentation failure occurred. CONCLUSION: Single-stage posterior instrumentation and anterior debridement with fusion was demonstrated to be a safe and effective method to achieve spinal decompression and kyphosis correction in patients with Pott’s disease

Keywords : Adolescent,Adult,Bone Screws,Child,China,complications,Debridement,Decompression,diagnostic imaging,etiology,Female,Humans,instrumentation,Kyphosis,Lumbar Vertebrae,Magnetic Resonance Imaging,Male,methods,microbiology,Middle Aged,Orthopedic Procedures,Patients,Radiography,Recurrence,Retrospective Studies,Safety,Spinal Fusion,Spine,surgery,Thoracic Vertebrae,Tuberculosis,Tuberculosis,Spinal,Universities,Young Adult,, Posterior,Instrumentation,Anterior,Debridement, pain clinic harley street

Date of Publication : 2012 Feb

Authors : Wang XB;Li J;Lu GH;Wang B;Lu C;Kang YJ;

Organisation : Department of Spine Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, People’s Republic of China

Journal of Publication : Int Orthop

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/22038489

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