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[Treatment of senile spinal tuberculosis with posterior percutaneous pedicle screw fixation combined with local percutaneous endoscopic debridement].
Zhongguo Gu Shang. 2018 Nov 25; 31(11):1005-1011.ZG

Abstract

OBJECTIVE

To explore the short-term efficacy of posterior percutaneous screw fixation combined with local percutaneous endoscopic debridement in treating senile spinal tuberculosis.

METHODS

The clinical data of 19 senile patients with spinal tuberculosis underwent surgical treatment from January 2015 to September 2016 were retrospectively analyzed. There were 13 males and 6 females, aged from 60 to 73 years old with an average of (66.2±4.0) years. All patients have been diagnosed with spinal tuberculosis prior to hospitalization with abscess, dead bone formation but no sinus, neurological symptoms, open surgical indications. All patients were treated with posterior percutaneous screw fixation combined with local percutaneous endoscopic debridement, and were given appropriate chemotherapy for 3 weeks preoperatively. Pre-and post-operative visual analogue score (VAS), Oswestry Disability Index (ODI), sagittal Cobb angle of lesion segment, erythrocyte sedimentation rate(ESR), C-reactive protein(CRP) were analyzed.

RESULTS

All the 19 patients successfully completed the operation and passed through the perioperative period safely. The operation method was unchanged during the operation. The average operation time was (153.2±14.0) min. Except for 1 patients who had delayed incision healing, other patients healed at I stage within 2 weeks after operation. All patients were followed up for 15 to 26 months with an average of (19.6±3.2) months.VAS, ODI, sagittal Cobb angle of lesion segment, ESR, CRP were decreased from preoperative(5.9±1.1) points, (80.9±4.0)%, (30.8±5.5)°, (79.6±14.4) mm/h, (56.9±9.5) mg/L to(1.8±0.9) points, (66.4±5.4)%, (15.9±2.5)°, (20.4±4.6) mg/L, (32.0±8.1) mm/h at final follow-up(P<0.05).

CONCLUSIONS

Senile spinal tuberculosis have more complications and poor general body condition. Posterior percutaneous pedicle screw fixation combined with local percutaneous endoscopic debridement in treating the patients can reduce trauma, got satisfactory effect.

Authors+Show Affiliations

Department of Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China.Department of Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China.Department of Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China.Department of Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China; weihu_ma@163.com.

Pub Type(s)

Journal Article

Language

chi

PubMed ID

30514040

Citation

Xu, Nan-Jian, et al. "[Treatment of Senile Spinal Tuberculosis With Posterior Percutaneous Pedicle Screw Fixation Combined With Local Percutaneous Endoscopic Debridement]." Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology, vol. 31, no. 11, 2018, pp. 1005-1011.
Xu NJ, Chen YL, Jiang WY, et al. [Treatment of senile spinal tuberculosis with posterior percutaneous pedicle screw fixation combined with local percutaneous endoscopic debridement]. Zhongguo Gu Shang. 2018;31(11):1005-1011.
Xu, N. J., Chen, Y. L., Jiang, W. Y., & Ma, W. H. (2018). [Treatment of senile spinal tuberculosis with posterior percutaneous pedicle screw fixation combined with local percutaneous endoscopic debridement]. Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology, 31(11), 1005-1011. https://doi.org/10.3969/j.issn.1003-0034.2018.11.005
Xu NJ, et al. [Treatment of Senile Spinal Tuberculosis With Posterior Percutaneous Pedicle Screw Fixation Combined With Local Percutaneous Endoscopic Debridement]. Zhongguo Gu Shang. 2018 Nov 25;31(11):1005-1011. PubMed PMID: 30514040.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Treatment of senile spinal tuberculosis with posterior percutaneous pedicle screw fixation combined with local percutaneous endoscopic debridement]. AU - Xu,Nan-Jian, AU - Chen,Yun-Lin, AU - Jiang,Wei-Yu, AU - Ma,Wei-Hu, PY - 2018/06/20/received PY - 2018/12/6/entrez PY - 2018/12/6/pubmed PY - 2019/5/8/medline KW - Elderly KW - Endoscope KW - Percutaneous pedicle screw fixation KW - Spinal tuberculosis SP - 1005 EP - 1011 JF - Zhongguo gu shang = China journal of orthopaedics and traumatology JO - Zhongguo Gu Shang VL - 31 IS - 11 N2 - OBJECTIVE: To explore the short-term efficacy of posterior percutaneous screw fixation combined with local percutaneous endoscopic debridement in treating senile spinal tuberculosis. METHODS: The clinical data of 19 senile patients with spinal tuberculosis underwent surgical treatment from January 2015 to September 2016 were retrospectively analyzed. There were 13 males and 6 females, aged from 60 to 73 years old with an average of (66.2±4.0) years. All patients have been diagnosed with spinal tuberculosis prior to hospitalization with abscess, dead bone formation but no sinus, neurological symptoms, open surgical indications. All patients were treated with posterior percutaneous screw fixation combined with local percutaneous endoscopic debridement, and were given appropriate chemotherapy for 3 weeks preoperatively. Pre-and post-operative visual analogue score (VAS), Oswestry Disability Index (ODI), sagittal Cobb angle of lesion segment, erythrocyte sedimentation rate(ESR), C-reactive protein(CRP) were analyzed. RESULTS: All the 19 patients successfully completed the operation and passed through the perioperative period safely. The operation method was unchanged during the operation. The average operation time was (153.2±14.0) min. Except for 1 patients who had delayed incision healing, other patients healed at I stage within 2 weeks after operation. All patients were followed up for 15 to 26 months with an average of (19.6±3.2) months.VAS, ODI, sagittal Cobb angle of lesion segment, ESR, CRP were decreased from preoperative(5.9±1.1) points, (80.9±4.0)%, (30.8±5.5)°, (79.6±14.4) mm/h, (56.9±9.5) mg/L to(1.8±0.9) points, (66.4±5.4)%, (15.9±2.5)°, (20.4±4.6) mg/L, (32.0±8.1) mm/h at final follow-up(P<0.05). CONCLUSIONS: Senile spinal tuberculosis have more complications and poor general body condition. Posterior percutaneous pedicle screw fixation combined with local percutaneous endoscopic debridement in treating the patients can reduce trauma, got satisfactory effect. SN - 1003-0034 UR - https://www.unboundmedicine.com/medline/citation/30514040/[Treatment_of_senile_spinal_tuberculosis_with_posterior_percutaneous_pedicle_screw_fixation_combined_with_local_percutaneous_endoscopic_debridement]_ L2 - http://www.diseaseinfosearch.org/result/7252 DB - PRIME DP - Unbound Medicine ER -