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.
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页码:1385 / 1390
页数:5
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