Anterior spinal decompression in HIV-positive patients with tuberculosis - A prospective study

被引：26

作者：

Govender, S ^{[1
]}

Parbhoo, AH ^{[1
]}

Kumar, KPS ^{[1
]}

Annamalai, K ^{[1
]}

机构：

[1] Univ Natal, Dept Orthopaed Surg, Congella, South Africa

来源：

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2001年 / 83B卷 / 06期

关键词：

D O I：

10.1302/0301-620X.83B6.11995

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：

A total of 39 HIV-infected adults with spinal tuberculosis underwent anterior spinal decompression for neurological deficit. Fresh-frozen allografts were used in 38 patients. Antituberculous drugs were prescribed for 18 months, but antiretroviral therapy was not used. Six patients died within two years of surgery. Neurological recovery and allograft incorporation were observed at follow-up at a mean of 38 months, although the CD4/CD8 ratios were reversed in all patients. Adequate preoperative nutritional support and compliance with antituberculous treatment are essential in ensuring a satisfactory outcome.

引用

页码：864 / 867

页数：4

共 23 条

[1] TUBERCULOSIS IN PATIENTS WITH HUMAN-IMMUNODEFICIENCY-VIRUS INFECTION [J].

BARNES, PF ;

BLOCH, AB ;

DAVIDSON, PT ;

SNIDER, DE .

NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (23) :1644-1650

[2]

BRIDWELL KH, 1995, SPINE, V20, P1410, DOI 10.1097/00007632-199506000-00014

[3]

CDC, 1993, MMWR-MORBID MORTAL W, V41, P19

[4] Does tuberculosis accelerate the progression of HIV disease? Evidence from basic science and epidemiology [J].

Del Amo, J ;

Malin, AS ;

Pozniak, A ;

De Cock, KM .

AIDS, 1999, 13 (10) :1151-1158

[5]

Frankel H L, 1969, Paraplegia, V7, P179

[6]

GOLDBERG VM, 1987, CLIN ORTHOP RELAT R, P7

[7]

GOVENDER S, 1988, S AFR MED J, V74, P58

[8] Support of the anterior column with allografts in tuberculosis of the spine [J].

Govender, S ;

Parbhoo, AH .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1999, 81B (01) :106-109

[9] ORTHOPEDIC PROCEDURES AND PROGNOSIS IN HEMOPHILIC PATIENTS WHO ARE SEROPOSITIVE FOR HUMAN-IMMUNODEFICIENCY-VIRUS [J].

GREENE, WB ;

DEGNORE, LT ;

WHITE, GC .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1990, 72A (01) :2-11

[10] INCREASED FREQUENCY OF INFECTION AFTER OPEN REDUCTION OF FRACTURES IN PATIENTS WHO ARE SEROPOSITIVE FOR HUMAN-IMMUNODEFICIENCY-VIRUS [J].

HOEKMAN, P ;

VANDEPERRE, P ;

NELISSEN, J ;

KWISANGA, B ;

BOGAERTS, J ;

KANYANGABO, F .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1991, 73A (05) :675-679

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