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Thoracolumbar spinal tuberculosis with psoas abscesses treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage.
Arch Orthop Trauma Surg. 2013 Jun; 133(6):765-72.AO

Abstract

PURPOSE

Retrospective analysis of the clinical efficacy and feasibility of patients with thoracolumbar spinal tuberculosis with psoas abscesses treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage.

METHOD

A total of 18 patients with thoracolumbar tuberculosis (TB), between February 2007 and February 2011, underwent one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage. And the clinical efficacy was evaluated based on surgery duration time, the blood loss, the postural drainage of time, neurological status that was recorded by American Spinal Injury Association (ASIA) Impairment Scale, the fate of bone graft fusion, kyphosis angle, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP), which were collected at certain time.

RESULTS

The average follow-up period was 34 months (range 18-48 months). 18 patients suffered from seriously neurological deficits pre-operatively, of which 16 patients returned to normal at final follow-up. The surgery duration time was 197 ± 37.9 min, and the blood loss was 815 ± 348.5 ml. The postural drainage of time was 7.2 ± 2.7 days. The psoas abscesses disappeared in all cases, within the time range of 6-9 months (mean 7.4 ± 1.2 months). All patients of the grafted bones were thoroughly fused, with a fusion time ranging from 4 to 12 months (mean 7.8 months). Kyphosis angle was 44.32 ± 7.26° on average pre-operative and returned to 11.72 ± 2.85° at 6 weeks after operation; kyphosis angle was 13.10 ± 2.39° at final follow-up. The values of ESR and CRP were significant declined at 6 weeks post-operative, and returned to normal levels at final follow-up.

CONCLUSION

With standardized anti-TB chemotherapy, thoracolumbar spinal tuberculosis with psoas abscesses could be effectively treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage.

Authors+Show Affiliations

Department of Spine Surgery, The Xiangya Hospital of Central South University, 87# Xiangya Road, Changsha, 410008, Hunan, People's Republic of China. xiaoyangpang@163.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23503890

Citation

Pang, Xiaoyang, et al. "Thoracolumbar Spinal Tuberculosis With Psoas Abscesses Treated By One-stage Posterior Transforaminal Lumbar Debridement, Interbody Fusion, Posterior Instrumentation, and Postural Drainage." Archives of Orthopaedic and Trauma Surgery, vol. 133, no. 6, 2013, pp. 765-72.
Pang X, Shen X, Wu P, et al. Thoracolumbar spinal tuberculosis with psoas abscesses treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage. Arch Orthop Trauma Surg. 2013;133(6):765-72.
Pang, X., Shen, X., Wu, P., Luo, C., Xu, Z., & Wang, X. (2013). Thoracolumbar spinal tuberculosis with psoas abscesses treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage. Archives of Orthopaedic and Trauma Surgery, 133(6), 765-72. https://doi.org/10.1007/s00402-013-1722-9
Pang X, et al. Thoracolumbar Spinal Tuberculosis With Psoas Abscesses Treated By One-stage Posterior Transforaminal Lumbar Debridement, Interbody Fusion, Posterior Instrumentation, and Postural Drainage. Arch Orthop Trauma Surg. 2013;133(6):765-72. PubMed PMID: 23503890.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Thoracolumbar spinal tuberculosis with psoas abscesses treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage. AU - Pang,Xiaoyang, AU - Shen,Xiongjie, AU - Wu,Ping, AU - Luo,Chenke, AU - Xu,Zhengquan, AU - Wang,Xiyang, Y1 - 2013/03/17/ PY - 2012/12/29/received PY - 2013/3/19/entrez PY - 2013/3/19/pubmed PY - 2013/10/18/medline SP - 765 EP - 72 JF - Archives of orthopaedic and trauma surgery JO - Arch Orthop Trauma Surg VL - 133 IS - 6 N2 - PURPOSE: Retrospective analysis of the clinical efficacy and feasibility of patients with thoracolumbar spinal tuberculosis with psoas abscesses treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage. METHOD: A total of 18 patients with thoracolumbar tuberculosis (TB), between February 2007 and February 2011, underwent one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage. And the clinical efficacy was evaluated based on surgery duration time, the blood loss, the postural drainage of time, neurological status that was recorded by American Spinal Injury Association (ASIA) Impairment Scale, the fate of bone graft fusion, kyphosis angle, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP), which were collected at certain time. RESULTS: The average follow-up period was 34 months (range 18-48 months). 18 patients suffered from seriously neurological deficits pre-operatively, of which 16 patients returned to normal at final follow-up. The surgery duration time was 197 ± 37.9 min, and the blood loss was 815 ± 348.5 ml. The postural drainage of time was 7.2 ± 2.7 days. The psoas abscesses disappeared in all cases, within the time range of 6-9 months (mean 7.4 ± 1.2 months). All patients of the grafted bones were thoroughly fused, with a fusion time ranging from 4 to 12 months (mean 7.8 months). Kyphosis angle was 44.32 ± 7.26° on average pre-operative and returned to 11.72 ± 2.85° at 6 weeks after operation; kyphosis angle was 13.10 ± 2.39° at final follow-up. The values of ESR and CRP were significant declined at 6 weeks post-operative, and returned to normal levels at final follow-up. CONCLUSION: With standardized anti-TB chemotherapy, thoracolumbar spinal tuberculosis with psoas abscesses could be effectively treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage. SN - 1434-3916 UR - https://www.unboundmedicine.com/medline/citation/23503890/Thoracolumbar_spinal_tuberculosis_with_psoas_abscesses_treated_by_one_stage_posterior_transforaminal_lumbar_debridement_interbody_fusion_posterior_instrumentation_and_postural_drainage_ L2 - https://dx.doi.org/10.1007/s00402-013-1722-9 DB - PRIME DP - Unbound Medicine ER -