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- Title
Single-stage posterior instrumentation and anterior debridement for active tuberculosis of the thoracic and lumbar spine with kyphotic deformity.
- Authors
Wang, Xiao-bin; Li, Jing; Lü, Guo-hua; Wang, Bin; Lu, Chang; Kang, Yi-jun
- Abstract
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° and 12.6°, with a mean correction of 40.9° (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.
- Subjects
DEBRIDEMENT; OPERATIVE surgery; SPINAL tuberculosis; POTT'S disease; LUMBAR vertebrae diseases; BONE grafting
- Publication
International Orthopaedics, 2012, Vol 36, Issue 2, p373
- ISSN
0341-2695
- Publication type
Article
- DOI
10.1007/s00264-011-1389-1