Anterior debridement and bone grafting of spinal tuberculosis with one-stage instrumentation anteriorly or posteriorly

被引:46
作者
Zhao, Jie [1 ]
Lian, Xiao Feng [1 ]
Hou, Tie Sheng [1 ]
Ma, Hui [1 ]
Chen, Zhi Ming [1 ]
机构
[1] Changhai Hosp, Dept Orthopaed, Shanghai 200433, Peoples R China
关键词
Erythrocyte Sedimentation Rate; Fusion Rate; Iliac Bone; Autogenous Bone; Posterior Instrumentation;
D O I
10.1007/s00264-006-0253-1
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Between 2000 and 2004, 40 cases (average age 38, range 16-65 years) of spinal tuberculosis were treated with anterior debridement and iliac bone graft with one-stage anterior or posterior instrumentation in our unit. All patients received at least 2 weeks of regular antituberculous chemotherapy before surgery. We followed up all patients for 12-48 months (mean 22 months). Local symptoms of all patients were relieved significantly 1-3 weeks postoperatively; 23 of 25 cases (92%) with neurogical deficit had excellent or good clinical results. Erythrocyte sedimentation rates (ESR) returned from 51 mm/h to 32 mm/h (average) two weeks postoperatively. Kyphosis degrees were corrected by a mean of 16 degrees. Fusion rate of the grafting bone was 72.5% one year postoperatively and 90% two years postoperatively. Severe complications did not occur. We therefore believe that patients undergoing anterior debridement and iliac bone grafting with one-stage anterior or posterior instrumentation achieve satisfactory clinical and radiographic outcomes.
引用
收藏
页码:859 / 863
页数:5
相关论文
共 13 条
[1]  
Altman GT, 1996, CLIN ORTHOP RELAT R, P225
[2]   SURGICAL-TREATMENT OF TUBERCULOUS SPONDYLITIS - 50 PATIENTS FOLLOWED FOR 2-8 YEARS [J].
CHEN, WJ ;
CHEN, CH ;
SHIH, CH .
ACTA ORTHOPAEDICA SCANDINAVICA, 1995, 66 (02) :137-142
[3]   Single-stage anterior autogenous bone grafting and instrumentation in the surgical management of spinal tuberculosis [J].
Dai, LY ;
Jiang, LS ;
Wang, W ;
Cui, YM .
SPINE, 2005, 30 (20) :2342-2349
[4]  
GRIFFITHS DL, 1982, J BONE JOINT SURG, V64, P393
[5]  
GUVEN O, 1994, SPINE, V19, P1039
[6]   Behaviour of the kyphotic angle in spinal tuberculosis [J].
Jain, AK ;
Aggarwal, PK ;
Arora, A ;
Singh, S .
INTERNATIONAL ORTHOPAEDICS, 2004, 28 (02) :110-114
[7]  
JAIN AK, 2002, CLIN ORTHOP RELAT R, V398, P75
[8]   Posterior instrumentation using compressive laminar hooks and anterior interbody arthrodesis for the treatment of tuberculosis of the lower lumbar spine [J].
Kim, DJ ;
Yun, YH ;
Moon, SH ;
Riew, KD .
SPINE, 2004, 29 (13) :E275-E279
[9]   Spine update tuberculosis of the spine - Controversies and a new challenge [J].
Moon, MS .
SPINE, 1997, 22 (15) :1791-1797
[10]   Selective instrumentation, reduction and repair in low-grade isthmic spondylolisthesis [J].
Morelos, O ;
Pozzo, AO .
INTERNATIONAL ORTHOPAEDICS, 2004, 28 (03) :180-182