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[Treatment of single-incision vertebral screw-rod fixation combined with pedicle screw-rod fixation for thoracolumbar tuberculosis].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012 Sep; 26(9):1062-5.ZX

Abstract

OBJECTIVE

To investigate the effectiveness of debridement and single-incision vertebral screw-rod fixation combined with pedicle screw-rod fixation and autograft bone fusion in treatment of thoracolumbar tuberculosis.

METHODS

Between January 2008 and October 2010, 22 patients with thoracolumbar tuberculosis were treated by debridement and single-incision vertebral screw-rod fixation combined with pedicle screw-rod fixation and autograft bone fusion, and were given anti-tuberculosis therapy after operation. Of 22 patients, 14 were male and 8 were female with an average age of 42 years (range, 18-66 years). The disease duration was 2-16 months (mean, 6 months). Sixteen double-segment lesions included T7, 8 in 3 cases, T8, 9 in 1 case, T9, 10 in 3 cases, T11, 12 in 2 cases, L1, 2 in 4 cases, and L3, 4 in 3 cases; 6 three-segment lesions included T7-9 in 2 cases, T11-L1 in 1 case, and L2-4 in 3 cases. Preoperative visual analogue scale (VAS) score was 7.50 +/- 0.63. According to Frankel classification of America Spinal Injury Association (ASIA), 2 cases were rated as grade B, 4 cases as grade C, 9 cases as grade D, and 7 cases as grade E.

RESULTS

Twenty-two patients were followed up 15-36 months (mean, 25.2 months). Wound infection occurred in 1 case and was cured after corresponding treatment; incision healed by first intention in other patients. No loosening or breakage of internal fixator was found; the patients had no deteriorations in spinal cord injury or cerebrospinal fluid leakage. X-ray films and CT showed obvious bone fusion in the intervertebral space. The time of bone fusion was 3-6 months (mean, 5.2 months). The erythrocyte sedimentation rate after operation was significantly lower than that before operation (P < 0.05). The VAS scores were significantly improved to 2.90 +/- 1.00 at 2 weeks after operation and 2.60 +/- 0.81 at last follow-up (P < 0.05). At last follow-up, nerve function was significantly improved. According to Frankel classification, 2 cases were rated as grade C, 5 cases as grade D, and 15 cases as grade E.

CONCLUSION

Single-incision vertebral screw-rod fixation combined with pedicle screw-rod fixation for thoracolumbar tuberculosis is a stable and minimally invasive method. However, the long-term effectiveness need further follow-up.

Authors+Show Affiliations

Department of Spinal Surgery, Renmin Hospital of Wuhan University, Wuhan Hubei 430060, PR China. Fanli70@tom.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

23057347

Citation

Fan, Li, et al. "[Treatment of Single-incision Vertebral Screw-rod Fixation Combined With Pedicle Screw-rod Fixation for Thoracolumbar Tuberculosis]." Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, vol. 26, no. 9, 2012, pp. 1062-5.
Fan L, Yang B, Shi Q, et al. [Treatment of single-incision vertebral screw-rod fixation combined with pedicle screw-rod fixation for thoracolumbar tuberculosis]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012;26(9):1062-5.
Fan, L., Yang, B., Shi, Q., Xu, Y., Chen, L., Chen, J., & Zheng, W. (2012). [Treatment of single-incision vertebral screw-rod fixation combined with pedicle screw-rod fixation for thoracolumbar tuberculosis]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, 26(9), 1062-5.
Fan L, et al. [Treatment of Single-incision Vertebral Screw-rod Fixation Combined With Pedicle Screw-rod Fixation for Thoracolumbar Tuberculosis]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012;26(9):1062-5. PubMed PMID: 23057347.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Treatment of single-incision vertebral screw-rod fixation combined with pedicle screw-rod fixation for thoracolumbar tuberculosis]. AU - Fan,Li, AU - Yang,Bo, AU - Shi,Qiao, AU - Xu,Yong, AU - Chen,Liao, AU - Chen,Jialu, AU - Zheng,Wanggou, PY - 2012/10/13/entrez PY - 2012/10/13/pubmed PY - 2013/5/10/medline SP - 1062 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 - 26 IS - 9 N2 - OBJECTIVE: To investigate the effectiveness of debridement and single-incision vertebral screw-rod fixation combined with pedicle screw-rod fixation and autograft bone fusion in treatment of thoracolumbar tuberculosis. METHODS: Between January 2008 and October 2010, 22 patients with thoracolumbar tuberculosis were treated by debridement and single-incision vertebral screw-rod fixation combined with pedicle screw-rod fixation and autograft bone fusion, and were given anti-tuberculosis therapy after operation. Of 22 patients, 14 were male and 8 were female with an average age of 42 years (range, 18-66 years). The disease duration was 2-16 months (mean, 6 months). Sixteen double-segment lesions included T7, 8 in 3 cases, T8, 9 in 1 case, T9, 10 in 3 cases, T11, 12 in 2 cases, L1, 2 in 4 cases, and L3, 4 in 3 cases; 6 three-segment lesions included T7-9 in 2 cases, T11-L1 in 1 case, and L2-4 in 3 cases. Preoperative visual analogue scale (VAS) score was 7.50 +/- 0.63. According to Frankel classification of America Spinal Injury Association (ASIA), 2 cases were rated as grade B, 4 cases as grade C, 9 cases as grade D, and 7 cases as grade E. RESULTS: Twenty-two patients were followed up 15-36 months (mean, 25.2 months). Wound infection occurred in 1 case and was cured after corresponding treatment; incision healed by first intention in other patients. No loosening or breakage of internal fixator was found; the patients had no deteriorations in spinal cord injury or cerebrospinal fluid leakage. X-ray films and CT showed obvious bone fusion in the intervertebral space. The time of bone fusion was 3-6 months (mean, 5.2 months). The erythrocyte sedimentation rate after operation was significantly lower than that before operation (P < 0.05). The VAS scores were significantly improved to 2.90 +/- 1.00 at 2 weeks after operation and 2.60 +/- 0.81 at last follow-up (P < 0.05). At last follow-up, nerve function was significantly improved. According to Frankel classification, 2 cases were rated as grade C, 5 cases as grade D, and 15 cases as grade E. CONCLUSION: Single-incision vertebral screw-rod fixation combined with pedicle screw-rod fixation for thoracolumbar tuberculosis is a stable and minimally invasive method. However, the long-term effectiveness need further follow-up. SN - 1002-1892 UR - https://www.unboundmedicine.com/medline/citation/23057347/[Treatment_of_single_incision_vertebral_screw_rod_fixation_combined_with_pedicle_screw_rod_fixation_for_thoracolumbar_tuberculosis]_ L2 - http://www.diseaseinfosearch.org/result/7252 DB - PRIME DP - Unbound Medicine ER -