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[One-stage posterior debridement, bone graft, and internal fixation for thoracic tuberculosis].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011 Oct; 25(10):1172-5.ZX

Abstract

OBJECTIVE

To evaluate the clinical effectiveness and advantages of one-stage posterior debridement, bone graft, and internal fixation for thoracic tuberculosis.

METHODS

The data were retrospectively analysed, from 21 cases of thoracic tuberculosis undergoing one-stage posterior debridement, bone graft, and internal fixation between June 2007 and November 2009. There were 16 males and 5 females with an average age of 42.2 years (range, 22-73 years). The average disease duration was 13.2 months (range, 7-21 months). The lesions were located at the level of T5,6 (1 case), T6,7 (1 case), T8,9 (4 cases), T9,10 (3 cases), T10,11 (5 cases), T11,12 (6 cases), and T9-11 (1 case). According to the Frankel grading criterion, the neurological function was rated as grade B in 2 cases, grade C in 6 cases, grade D in 10 cases, and grade E in 3 cases. The preoperative Cobb angle was (26.3 +/- 9.2) degrees. The erythrocyte sedimentation rate (ESR) was (35.9 +/- 11.2) mm/1 hour.

RESULTS

Thoracic tuberculosis was confirmed in postoperative pathological examination in all 21 cases. All incisions healed primarily without fistulae formation. The average follow-up time for 21 patients was 16.2 months (range, 1-3 years). Bony fusion was achieved within 7-12 months (mean, 9 months) without pseudoarthrosis. No loosening and breakage of internal fixation were found, and no local recurrence occurred. The ESR decreased to (25.1 +/- 8.9) mm/1 hour at 1 week postoperatively, showing significant difference when compared with preoperative value (t = 5.935, P < 0.01); it decreased to (14.1 +/- 4.6) mm/1 hour at 3 months postoperatively. According to Frankel grade, the neurological function was significantly improved at 1 year after operation (chi2 = 13.689, P = 0.003). The average Cobb angle was (17.1 +/- 4.5) degrees at 1 years postoperatively, showing significant difference when compared with preoperative value (t = 7.476, P < 0.01).

CONCLUSION

One-stage posterior debridement, bone graft, and internal fixation has a good clinical effectiveness for thoracic tuberculosis with less injury and complete focal cleaning, as well as a good effectiveness of spinal canal decompression and kyphosis deformity correction.

Authors+Show Affiliations

Department of Spine Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou Fujian 350005, PR China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

chi

PubMed ID

22069967

Citation

Chen, Xuanwei, et al. "[One-stage Posterior Debridement, Bone Graft, and Internal Fixation for Thoracic Tuberculosis]." Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, vol. 25, no. 10, 2011, pp. 1172-5.
Chen X, Lin J, Chen L, et al. [One-stage posterior debridement, bone graft, and internal fixation for thoracic tuberculosis]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011;25(10):1172-5.
Chen, X., Lin, J., Chen, L., Chen, F., Xu, W., & Wei, C. (2011). [One-stage posterior debridement, bone graft, and internal fixation for thoracic tuberculosis]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, 25(10), 1172-5.
Chen X, et al. [One-stage Posterior Debridement, Bone Graft, and Internal Fixation for Thoracic Tuberculosis]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011;25(10):1172-5. PubMed PMID: 22069967.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [One-stage posterior debridement, bone graft, and internal fixation for thoracic tuberculosis]. AU - Chen,Xuanwei, AU - Lin,Jianhua, AU - Chen,Lei, AU - Chen,Fei, AU - Xu,Weihong, AU - Wei,Chao, PY - 2011/11/11/entrez PY - 2011/11/11/pubmed PY - 2012/5/11/medline SP - 1172 EP - 5 JF - Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery JO - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi VL - 25 IS - 10 N2 - OBJECTIVE: To evaluate the clinical effectiveness and advantages of one-stage posterior debridement, bone graft, and internal fixation for thoracic tuberculosis. METHODS: The data were retrospectively analysed, from 21 cases of thoracic tuberculosis undergoing one-stage posterior debridement, bone graft, and internal fixation between June 2007 and November 2009. There were 16 males and 5 females with an average age of 42.2 years (range, 22-73 years). The average disease duration was 13.2 months (range, 7-21 months). The lesions were located at the level of T5,6 (1 case), T6,7 (1 case), T8,9 (4 cases), T9,10 (3 cases), T10,11 (5 cases), T11,12 (6 cases), and T9-11 (1 case). According to the Frankel grading criterion, the neurological function was rated as grade B in 2 cases, grade C in 6 cases, grade D in 10 cases, and grade E in 3 cases. The preoperative Cobb angle was (26.3 +/- 9.2) degrees. The erythrocyte sedimentation rate (ESR) was (35.9 +/- 11.2) mm/1 hour. RESULTS: Thoracic tuberculosis was confirmed in postoperative pathological examination in all 21 cases. All incisions healed primarily without fistulae formation. The average follow-up time for 21 patients was 16.2 months (range, 1-3 years). Bony fusion was achieved within 7-12 months (mean, 9 months) without pseudoarthrosis. No loosening and breakage of internal fixation were found, and no local recurrence occurred. The ESR decreased to (25.1 +/- 8.9) mm/1 hour at 1 week postoperatively, showing significant difference when compared with preoperative value (t = 5.935, P < 0.01); it decreased to (14.1 +/- 4.6) mm/1 hour at 3 months postoperatively. According to Frankel grade, the neurological function was significantly improved at 1 year after operation (chi2 = 13.689, P = 0.003). The average Cobb angle was (17.1 +/- 4.5) degrees at 1 years postoperatively, showing significant difference when compared with preoperative value (t = 7.476, P < 0.01). CONCLUSION: One-stage posterior debridement, bone graft, and internal fixation has a good clinical effectiveness for thoracic tuberculosis with less injury and complete focal cleaning, as well as a good effectiveness of spinal canal decompression and kyphosis deformity correction. SN - 1002-1892 UR - https://www.unboundmedicine.com/medline/citation/22069967/[One_stage_posterior_debridement_bone_graft_and_internal_fixation_for_thoracic_tuberculosis]_ L2 - http://www.diseaseinfosearch.org/result/7252 DB - PRIME DP - Unbound Medicine ER -