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[Modified single-stage transpedicular decompression, debridement, and posterior instrumentation in treatment of thoracic tuberculosis].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011 Nov; 25(11):1294-7.ZX

Abstract

OBJECTIVE

To investigate the effectiveness and feasibility of modified single-stage transpedicular decompression, debridement, and posterior instrumentation in treatment of thoracic tuberculosis.

METHODS

Between January 2005 and December 2009, 22 cases of thoracic tuberculosis were treated with modified single-stage transpedicular decompression, debridement, and posterior instrumentation. There were 12 males and 10 females with an average age of 39.4 years (range, 22-52 years). The mean disease duration was 1.2 years (range, 3 months to 10 years). The involved vertebral bodies were T5-12, including 2 segments in 17 cases and 3 segments in 5 cases. The kyphosis Cobb angle was (31.2 +/- 14.5) degrees before operation. According to Frankel score system for neurological deficits, 2 cases were classified as grade A, 1 case as grade B, 8 cases as grade C, 5 cases as grade D, 1 case as grade E, and 5 cases had no neurological deficits before operation.

RESULTS

All incisions healed by first intention. All patients were followed up 22.2 months on average (range, 12-65 months). Pain in low back was relieved in varying degrees 2 weeks after operation. Fusion was achieved in the bone implant area at 3 months after operation. According to Frankel score system, 1 case was rated as grade B, 2 cases as grade C, 4 cases as grade D, 7 cases as grade E, and 8 cases had no neurological deficits at last follow-up. The kyphosis Cobb angle was (16.2 +/- 3.6) degrees, showing significant difference when compared with the value before operation (t = 5.952, P = 0.001). No loosening, emersion, breakage of internal fixation or pneumothorax occurred 1 year after operation.

CONCLUSION

Single-stage transpedicular decompression and posterior instrumentation is an effective and safe method in treatment of thoracic tuberculosis.

Authors+Show Affiliations

Department of Orthopedics, Changhai Hospital, Second Military Medical University, Shanghai 200433, 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

22229179

Citation

Li, Cheng, et al. "[Modified Single-stage Transpedicular Decompression, Debridement, and Posterior Instrumentation in Treatment of 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. 11, 2011, pp. 1294-7.
Li C, He D, Hu W, et al. [Modified single-stage transpedicular decompression, debridement, and posterior instrumentation in treatment of thoracic tuberculosis]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011;25(11):1294-7.
Li, C., He, D., Hu, W., Yang, X., Ni, Y., & Li, M. (2011). [Modified single-stage transpedicular decompression, debridement, and posterior instrumentation in treatment of thoracic tuberculosis]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, 25(11), 1294-7.
Li C, et al. [Modified Single-stage Transpedicular Decompression, Debridement, and Posterior Instrumentation in Treatment of Thoracic Tuberculosis]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011;25(11):1294-7. PubMed PMID: 22229179.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Modified single-stage transpedicular decompression, debridement, and posterior instrumentation in treatment of thoracic tuberculosis]. AU - Li,Cheng, AU - He,Dawei, AU - Hu,Wen, AU - Yang,Xinghua, AU - Ni,Yingjie, AU - Li,Ming, PY - 2012/1/11/entrez PY - 2012/1/11/pubmed PY - 2012/5/11/medline SP - 1294 EP - 7 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 - 11 N2 - OBJECTIVE: To investigate the effectiveness and feasibility of modified single-stage transpedicular decompression, debridement, and posterior instrumentation in treatment of thoracic tuberculosis. METHODS: Between January 2005 and December 2009, 22 cases of thoracic tuberculosis were treated with modified single-stage transpedicular decompression, debridement, and posterior instrumentation. There were 12 males and 10 females with an average age of 39.4 years (range, 22-52 years). The mean disease duration was 1.2 years (range, 3 months to 10 years). The involved vertebral bodies were T5-12, including 2 segments in 17 cases and 3 segments in 5 cases. The kyphosis Cobb angle was (31.2 +/- 14.5) degrees before operation. According to Frankel score system for neurological deficits, 2 cases were classified as grade A, 1 case as grade B, 8 cases as grade C, 5 cases as grade D, 1 case as grade E, and 5 cases had no neurological deficits before operation. RESULTS: All incisions healed by first intention. All patients were followed up 22.2 months on average (range, 12-65 months). Pain in low back was relieved in varying degrees 2 weeks after operation. Fusion was achieved in the bone implant area at 3 months after operation. According to Frankel score system, 1 case was rated as grade B, 2 cases as grade C, 4 cases as grade D, 7 cases as grade E, and 8 cases had no neurological deficits at last follow-up. The kyphosis Cobb angle was (16.2 +/- 3.6) degrees, showing significant difference when compared with the value before operation (t = 5.952, P = 0.001). No loosening, emersion, breakage of internal fixation or pneumothorax occurred 1 year after operation. CONCLUSION: Single-stage transpedicular decompression and posterior instrumentation is an effective and safe method in treatment of thoracic tuberculosis. SN - 1002-1892 UR - https://www.unboundmedicine.com/medline/citation/22229179/[Modified_single_stage_transpedicular_decompression_debridement_and_posterior_instrumentation_in_treatment_of_thoracic_tuberculosis]_ L2 - http://www.diseaseinfosearch.org/result/7252 DB - PRIME DP - Unbound Medicine ER -