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Single-stage posterior-only debridement, decompression and interbody fusion for the treatment of thoracolumbar spinal tuberculosis complicated with psoas abscesses.
BMC Surg. 2021 Feb 12; 21(1):84.BS

Abstract

BACKGROUND

To explore the clinical safety and efficacy of single-stage posterior-only debridement, decompression, allograft bone using titanium mesh and interbody fusion combined for the treatment of thoracolumbar spinal tuberculosis complicated with psoas abscesses.

METHODS

A total of 38 patients diagnosed with thoracolumbar spinal tuberculosis complicated with psoas abscesses underwent surgery via single-stage posterior-only debridement, decompression, allograft bone using titanium mesh and interbody fusion from January 2010 to September 2016 were enrolled in the study. The clinical efficacy of the approach was assessed based on parameters including operating time, blood loss, Cobb angle, visual analogue scale (VAS) scores, Frankel grade, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).

RESULTS

The surgery duration was 224.4 ± 71.1 min with a blood loss of 731.8 ± 585.8 ml. The Cobb angle was corrected from 16.0 ± 15.4° preoperatively to 8.1 ± 7.4° postoperatively (P < 0.001, t = - 4.38), and returned to a level of 11.0 ± 8.5° at the final follow-up (P = 0.002, t = 3.38). Back pain was relieved, with the mean preoperative VAS of 3.5 ± 1.1 decreased to 0.7 ± 0.8 postoperatively (P < 0.001, t = 23.21) and then to 0.6 ± 0.5 at the final follow-up (P < 0.001, t = 17.07). Neurological function was improved in various degrees and psoas abscesses disappeared in all patients. The ESR and CRP decreased gradually after surgery and returned to normal at the final follow-up in all patients. All patients achieved bone fusion thoroughly and no recurrence of TB or surgical related complications was found at the final follow-up.

CONCLUSION

Single-stage posterior-only debridement, decompression, allograft bone using titanium mesh and interbody fusion is a safe and effective approach for the management of thoracolumbar spinal tuberculosis complicated with psoas abscesses.

Authors+Show Affiliations

Department of Spinal Surgery, The First Affiliated Hospital of Fujian Medical University, Chazhong Road 20th, Fuzhou, 350005, Fujian, China.Department of Spinal Surgery, The First Affiliated Hospital of Fujian Medical University, Chazhong Road 20th, Fuzhou, 350005, Fujian, China.Department of Spinal Surgery, The First Affiliated Hospital of Fujian Medical University, Chazhong Road 20th, Fuzhou, 350005, Fujian, China.Department of Spinal Surgery, The First Affiliated Hospital of Fujian Medical University, Chazhong Road 20th, Fuzhou, 350005, Fujian, China.Department of Spinal Surgery, The First Affiliated Hospital of Fujian Medical University, Chazhong Road 20th, Fuzhou, 350005, Fujian, China. 710489558@qq.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33579244

Citation

Wu, Wence, et al. "Single-stage Posterior-only Debridement, Decompression and Interbody Fusion for the Treatment of Thoracolumbar Spinal Tuberculosis Complicated With Psoas Abscesses." BMC Surgery, vol. 21, no. 1, 2021, p. 84.
Wu W, Li Z, Lin R, et al. Single-stage posterior-only debridement, decompression and interbody fusion for the treatment of thoracolumbar spinal tuberculosis complicated with psoas abscesses. BMC Surg. 2021;21(1):84.
Wu, W., Li, Z., Lin, R., Wang, S., & Lin, J. (2021). Single-stage posterior-only debridement, decompression and interbody fusion for the treatment of thoracolumbar spinal tuberculosis complicated with psoas abscesses. BMC Surgery, 21(1), 84. https://doi.org/10.1186/s12893-021-01092-8
Wu W, et al. Single-stage Posterior-only Debridement, Decompression and Interbody Fusion for the Treatment of Thoracolumbar Spinal Tuberculosis Complicated With Psoas Abscesses. BMC Surg. 2021 Feb 12;21(1):84. PubMed PMID: 33579244.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Single-stage posterior-only debridement, decompression and interbody fusion for the treatment of thoracolumbar spinal tuberculosis complicated with psoas abscesses. AU - Wu,Wence, AU - Li,Zhechen, AU - Lin,Renqin, AU - Wang,Shenglin, AU - Lin,Jianhua, Y1 - 2021/02/12/ PY - 2020/11/12/received PY - 2021/01/25/accepted PY - 2021/2/13/entrez PY - 2021/2/14/pubmed PY - 2021/2/18/medline KW - Debridement KW - Posterior-only KW - Psoas abscesses KW - Single-stage KW - Thoracolumbar spinal tuberculosis SP - 84 EP - 84 JF - BMC surgery JO - BMC Surg VL - 21 IS - 1 N2 - BACKGROUND: To explore the clinical safety and efficacy of single-stage posterior-only debridement, decompression, allograft bone using titanium mesh and interbody fusion combined for the treatment of thoracolumbar spinal tuberculosis complicated with psoas abscesses. METHODS: A total of 38 patients diagnosed with thoracolumbar spinal tuberculosis complicated with psoas abscesses underwent surgery via single-stage posterior-only debridement, decompression, allograft bone using titanium mesh and interbody fusion from January 2010 to September 2016 were enrolled in the study. The clinical efficacy of the approach was assessed based on parameters including operating time, blood loss, Cobb angle, visual analogue scale (VAS) scores, Frankel grade, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). RESULTS: The surgery duration was 224.4 ± 71.1 min with a blood loss of 731.8 ± 585.8 ml. The Cobb angle was corrected from 16.0 ± 15.4° preoperatively to 8.1 ± 7.4° postoperatively (P < 0.001, t = - 4.38), and returned to a level of 11.0 ± 8.5° at the final follow-up (P = 0.002, t = 3.38). Back pain was relieved, with the mean preoperative VAS of 3.5 ± 1.1 decreased to 0.7 ± 0.8 postoperatively (P < 0.001, t = 23.21) and then to 0.6 ± 0.5 at the final follow-up (P < 0.001, t = 17.07). Neurological function was improved in various degrees and psoas abscesses disappeared in all patients. The ESR and CRP decreased gradually after surgery and returned to normal at the final follow-up in all patients. All patients achieved bone fusion thoroughly and no recurrence of TB or surgical related complications was found at the final follow-up. CONCLUSION: Single-stage posterior-only debridement, decompression, allograft bone using titanium mesh and interbody fusion is a safe and effective approach for the management of thoracolumbar spinal tuberculosis complicated with psoas abscesses. SN - 1471-2482 UR - https://www.unboundmedicine.com/medline/citation/33579244/Single_stage_posterior_only_debridement_decompression_and_interbody_fusion_for_the_treatment_of_thoracolumbar_spinal_tuberculosis_complicated_with_psoas_abscesses_ L2 - https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-021-01092-8 DB - PRIME DP - Unbound Medicine ER -