One-stage surgical management for children with spinal tuberculosis by anterior decompression and posterior instrumentation

被引:0
|
作者
Qi-Shan Huang
Changkun Zheng
Yuezheng Hu
Xiaoling Yin
Huazi Xu
Guoyou Zhang
Qi Wang
机构
[1] The Second Affiliated Hospital of Wenzhou Medical College,Department of Spine Surgery
[2] Huazhong University of Science and Technology,Department of Pediatrics, Tongji Hospital
来源
International Orthopaedics | 2009年 / 33卷
关键词
Bone Grafting; Interbody Fusion; Posterior Instrumentation; Spinal Tuberculosis; Kyphotic Deformity;
D O I
暂无
中图分类号
学科分类号
摘要
The goal of this study was to assess the efficacy of one-stage surgical management for children with spinal tuberculosis by anterior decompression, bone grafting, posterior instrumentation, and fusion. Between January 2002 and December 2006, 15 cases with spinal tuberculosis were treated with one-stage posterior internal fixation and anterior debridement. All cases were followed-up for an average of 30.3 months (range 12–48 months). The average neurological recovery in the patients was 0.93 grades on the scale of Frankel et al. (Paraplegia 7:179–192, 1969). The average preoperative kyphosis was 36° (range 19–59°), and the average postoperative kyphosis was 23° (range 15–38°) at final follow-up. At final follow-up, minimal progression of kyphosis was seen, with an average kyphosis of 27° (range 16–40°). An average loss of correction of 4° was seen at final follow-up. One-stage surgical management for children with spinal tuberculosis by anterior decompression, bone grafting, posterior instrumentation, and fusion was feasible and effective.
引用
收藏
页码:1385 / 1390
页数:5
相关论文
共 50 条
  • [21] Active thoracic and lumbar spinal tuberculosis in children with kyphotic deformity treated by one-stage posterior instrumentation combined anterior debridement: Preliminary study
    Hu J.
    Li D.
    Kang Y.
    Pang X.
    Wu T.
    Duan C.
    Cao Y.
    European Journal of Orthopaedic Surgery & Traumatology, 2014, 24 (Suppl 1) : S221 - S229
  • [22] One-stage combined anterior-posterior surgery for thoracic and lumbar spinal tuberculosis
    Shen, Jian
    Zheng, Qi
    Wang, Yifan
    Ying, Xiaozhang
    JOURNAL OF SPINAL CORD MEDICINE, 2021, 44 (01): : 54 - 61
  • [23] One-stage anterior debridement, bone grafting and posterior instrumentation vs. single posterior debridement, bone grafting, and instrumentation for the treatment of thoracic and lumbar spinal tuberculosis
    Xiyang Wang
    Xiaoyang Pang
    Ping Wu
    Chengke Luo
    Xiongjie Shen
    European Spine Journal, 2014, 23 : 830 - 837
  • [24] One-stage anterior debridement, bone grafting and posterior instrumentation vs. single posterior debridement, bone grafting, and instrumentation for the treatment of thoracic and lumbar spinal tuberculosis
    Wang, Xiyang
    Pang, Xiaoyang
    Wu, Ping
    Luo, Chengke
    Shen, Xiongjie
    EUROPEAN SPINE JOURNAL, 2014, 23 (04) : 830 - 837
  • [25] Surgical management by one-stage posterior transforaminal lumbar debridement, interbody fusion, and posterior instrumentation for lumbo-sacral tuberculosis in the aged
    Hong-qi Zhang
    Min-zhong Lin
    Lei Ge
    Jin-song Li
    Jian-huang Wu
    Jin-yang Liu
    Archives of Orthopaedic and Trauma Surgery, 2012, 132 : 1677 - 1683
  • [26] Surgical management by one-stage posterior transforaminal lumbar debridement, interbody fusion, and posterior instrumentation for lumbo-sacral tuberculosis in the aged
    Zhang, Hong-qi
    Lin, Min-zhong
    Ge, Lei
    Li, Jin-song
    Wu, Jian-huang
    Liu, Jin-yang
    ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2012, 132 (12) : 1677 - 1683
  • [27] Surgical treatment of lumbosacral tuberculosis by one-stage debridement and anterior instrumentation with allograft through an extraperitoneal anterior approach
    Jian-Hua Li
    Ze-Hua Zhang
    Tao Shi
    Fei Dai
    Qiang Zhou
    Fei Luo
    Tian-Yong Hou
    Qing-Yi He
    Mo-Yuan Deng
    Jian-Zhong Xu
    Journal of Orthopaedic Surgery and Research, 10
  • [28] Surgical treatment of lumbosacral tuberculosis by one-stage debridement and anterior instrumentation with allograft through an extraperitoneal anterior approach
    Li, Jian-Hua
    Zhang, Ze-Hua
    Shi, Tao
    Dai, Fei
    Zhou, Qiang
    Luo, Fei
    Hou, Tian-Yong
    He, Qing-Yi
    Deng, Mo-Yuan
    Xu, Jian-Zhong
    JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2015, 10
  • [29] ONE-STAGE ANTEROLATERAL DECOMPRESSION AND POSTERIOR STABILIZATION FOR SPINAL TUMOR AND TRAUMA
    TIBBS, PA
    LEE, C
    NEUROSURGERY, 1988, 23 (02) : 263 - 263
  • [30] One-stage posterior approaches for treatment of thoracic spinal infection: Transforaminal and costotransversectomy, compared with anterior approach with posterior instrumentation
    Kao, Fu-Cheng
    Tsai, Tsung-Ting
    Niu, Chi-Chien
    Lai, Po-Liang
    Chen, Lih-Huei
    Chen, Wen-Jer
    MEDICINE, 2017, 96 (42)