Abstract：
OBJECTIVE:To evaluate the outcome of computed tomography (CT)-guided percutaneous puncture and local chemotherapy for tuberculosis (TB) of the lumbar or lumbosacral spine. METHODS:From January 2002 to August 2006, 49 patients with lumbar or lumbosacral spinal TB in whom conservative treatment had failed were treated by minimally invasive surgery. There were 21 female and 28 male patients. The mean age of the patients was 47 ± 18 years (range from 12 to 78 years). There were 40 cases with lumbar TB, and 9 with lumbosacral TB. From L(1) to S(1), the involved vertebral numbers were 8, 26, 19, 19, 21 and 10, respectively. In 3 patients the spinal TB involved a single vertebra, in 39 patients two, in 6 patients three and in only one case four vertebrae. According to the Frankel scale, three patients had grade E incomplete paralysis preoperatively. The outcome, after treatment by CT-guided percutaneous puncture and local chemotherapy, was retrospectively analyzed according to the preoperative and postoperative kyphotic angles and the Oswestry disability index (ODI). RESULTS:Forty-nine patients were followed up for from one year to 5 years and 8 months (average 35 months). All cases recovered, and there was no recurrence. Preoperatively, the kyphotic angle was 16.47°± 8.74°, and it had decreased to 13.35°± 8.02° by the final follow-up (t= 5.79, P < 0.001). The average ODI score had improved from 70.12 ± 22.24 to 12.72 ± 8.62 (t= 21.42, P < 0.001). CONCLUSION:The majority of cases of lumbar and lumbosacral spinal TB can achieve satisfactory results with minimally invasive surgery. Its clinical application is therefore strongly recommended.
journal_name
Orthop Surgjournal_title
Orthopaedic surgeryauthors
Zhang XF,Wang Y,Xiao SH,Liu ZS,Zhang YG,Liu BW,Xia ZMdoi
10.1111/j.1757-7861.2009.00060.xsubject
Has Abstractpub_date
2010-02-01 00:00:00pages
64-70issue
1eissn
1757-7853issn
1757-7861journal_volume
2pub_type
杂志文章abstract：:Pure tibiotalar dislocation without an associated fracture is an extremely rare injury. We present three cases of closed posteromedial tibiotalar dislocation without any associated fractures to the foot, ankle, or leg. All patients were treated conservatively with immediate closed reduction under general or local anae...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12049
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVE:To introduce an iliosacral screw fixation guide and evaluate its efficacy in fixation of sacroiliac joint fracture-dislocations. METHODS:Between January 2011 and May 2011, eight patients (five men, three women) with sacroiliac joint fracture-dislocation underwent percutaneous iliosacral screw fixation with t...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/j.1757-7861.2011.00162.x
更新日期：2012-02-01 00:00:00
abstract：OBJECTIVE:To assess the difference between drainage and non-drainage after total hip arthroplasty (THA) in Chinese subjects by evaluating post-operative complications and joint function. METHODS:One hundred and sixty-eight patients undergoing THA were randomly allocated into drainage (83 patients) and non-drainage gro...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,随机对照试验
doi：10.1111/os.12092
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVE:To investigate the biological functions of long noncoding RNA-H19 (H19) in the pathogenesis of disuse osteoporosis (DOP). METHODS:Fifty-four male Sprague Dawley (SD) rats were randomly divided into three groups: baseline control (BC, 6), age-matched control (AC, 24), and hindlimb unloading (HLU, 24). The rat...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12321
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:Accurate understanding of the cause of the underlying pathology in children with diastrophic dysplasia would help in designing targeted management of their locomotion. METHODS:Diastrophic dysplasia was diagnosed in twelve patients (nine girls and three boys; age range 1-14 years), all of whom presented with ...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12146
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:Total knee arthroplasty (TKA) is one of the most universal and effective means for treating terminal stage osteoarthritis (OA) of knee. Accurate intramedullary guide of femur is the basis for the distal femoral cuts. Determining the surgical transepicondylar axis (sTEA) is the key to reconstruction of the fem...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,随机对照试验
doi：10.1111/os.12619
更新日期：2020-04-01 00:00:00
abstract：OBJECTIVE:To analyze the approach and feasibility of one-stage anterior release and reduction with posterior fusion for irreducible atlantoaxial dislocation. METHODS:Ten male and 6 female patients, with an average age of 36 years, including 13 patients with old trauma, 2 with rheumatoid disease, and 1 with os odontoid...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/j.1757-7861.2009.00049.x
更新日期：2009-11-01 00:00:00
abstract：OBJECTIVE:To retrospectively investigate the experience at one urban level one trauma center with gunshot femoral fractures with vascular injury and to examine the implication of surgical sequence with regards to short-term complications and ischaemia time. METHODS:We performed a retrospective study of 24 patients tre...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/j.1757-7861.2012.00186.x
更新日期：2012-08-01 00:00:00
abstract：OBJECTIVE:To investigate the outcomes of total knee arthroplasty (TKA) in patients with a prior femoral or tibial fracture, and identify the risk factors for surgical site complications and reoperations. METHODS:Seventy-one TKAs performed in 71 patients with a prior tibial or femoral fracture between January 2005 and ...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12610
更新日期：2020-02-01 00:00:00
abstract：OBJECTIVE:Lumbar spinal stenosis is a medical condition characterized by the narrowing of the spinal canal as a consequence of bone and soft tissue degeneration, including disc herniation, facet and ligamentum flavum hypertrophy, and osteophyte formation. The percutaneous transforaminal endoscopic discectomy (PTED) tec...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12559
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:To evaluate the functional outcomes of arthroscopic anatomical repair of anterior talofibular ligament (ATFL) in the treatment of chronic lateral ankle instability (CLAI) during medium- and long-term follow-up. METHODS:From September 2014 to August 2017, the data of 37 patients (23 males, 14 females; 12 left...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12651
更新日期：2020-04-01 00:00:00
abstract：:Diaphyseal defects in long bones of extremities following segmental resection are very common in the clinic, and reconstruction remains a great challenge. Although there are many treatments for diaphyseal defects at present, reconstruction with an intercalary endoprosthesis may be an optimal method. We demonstrate a s...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12391
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVE:To evaluate the effects of surgery and rehabilitation on patients undergoing total knee arthroplasty (TKA). METHODS:Twelve patients and 12 healthy controls were enrolled and their clinical scores evaluated by a doctor. Gait data, including walking velocity, stride length, single support time, foot fall and s...
journal_title：Orthopaedic surgery
pub_type： 临床试验,杂志文章
doi：10.1111/os.12270
更新日期：2016-08-01 00:00:00
abstract：:The objective of this systematic review and meta-analysis was to evaluate the efficacy and safety of i.v. tranexamic acid (TXA) in simultaneous bilateral total knee arthroplasty (TKA). Potentially relevant published reports were identified from the following electronic databases: Medline, PubMed, Embase, ScienceDirect...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,meta分析,评审
doi：10.1111/os.12256
更新日期：2016-08-01 00:00:00
abstract：:To observe the morphology character of the anterior epidural space at the L4-5 disc level and to provide an anatomical basis for safely and accurately performing a percutaneous endoscopic lumbar discectomy (PELD). Fifty-five cases with L5 S1 lumbar disc herniation were included in this study, and cases with L4-5 disea...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12325
更新日期：2017-05-01 00:00:00
abstract：OBJECTIVE:To examine the results of an anular closure device for prevention of lumbar disc reherniation in daily routine practice. METHODS:Fifty patients with large anular defects were treated with limited discectomy and a bone-anchored anular closure device. The device physically occludes the defect in the anulus fib...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12495
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:The prevention and treatment of the common complication of cerebrospinal fluid leakage (CSFL) during anterior approach cervical spine surgery for severe ossification of the posterior longitudinal ligament (OPLL) is documented. METHOD:A retrospective analysis of 47 patients with severe cervical OPLL aged 39 t...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12007
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVE:To present the use of an intermediate dorsal neurocutaneous flap for the reconstruction of defects on the distal foot. METHODS:From September 2016 to October 2018, five patients (mean age at operation 33.8 years; range, 7-70 years; female/male = 2/3) with skin defects on one of their feet caused by road-traf...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12623
更新日期：2020-04-01 00:00:00
abstract：OBJECTIVE:To investigate delay in diagnosis by both patients and doctors, and to evaluate its effect on outcomes of high-grade sarcoma of bone in a single-referral oncological center. METHODS:Fifty-four patients with osteosarcoma, 29 with Ewing sarcoma and 19 with chondrosarcoma were enrolled in this retrospective stu...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12239
更新日期：2016-05-01 00:00:00
abstract：OBJECTIVE:To develop a novel screw positioning method to improve the treatment of unstable thoracolumbar fractures. METHODS:A total of 72 patients with unstable thoracolumbar fractures who were treated with anterior screw-rod interfixation from January 2011 to October 2015 were included in this clinical study. Those p...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12506
更新日期：2019-08-01 00:00:00
abstract：OBJECTIVE:Relatively few studies have reported on the morphology of the supracondylar femur, which is a fundamental factor affecting prosthetic reconstruction. The objectives of the present study were to measure the morphological parameters of the supracondylar femur, to classify the supracondylar femur, and to provide...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12443
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:To study the clinical features and diagnosis of bursal-side partial-thickness rotator cuff tears. METHODS:From August 1999 to June 2006, 38 patients with bursal-side partial-thickness rotator cuff tear were evaluated. Twenty-eight men and ten women of average age 45.7 years (range, 18-69 years) with 11 left ...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/j.1757-7861.2010.00097.x
更新日期：2010-11-01 00:00:00
abstract：OBJECTIVE:"Lisfranc joint injury" is comprised of a tarsometatarsal joint-complex injury. The Lisfranc complex injury is always a challenge for orthopedists, and the optimum treatment is still up for debate. Anatomic reduction and stable internal fixation prove to have no satisfactory outcomes. This research aims to co...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12316
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:To investigate the bone hardness of different anatomical regions of the human radius and its impact on the pullout strength of screws. METHODS:Fresh radius bones were obtained from three donated cadavers. They were divided into three parts: proximal metaphysis, shaft, and distal metaphysis. The proximal meta...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12436
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:The present retrospective study was performed to assess the anatomical features of the pedicle in isthmic spondylolisthesis and to correlate this with degree of slip. METHODS:Twenty-six patients with isthmic spondylolytic spondylolisthesis were studied. Relevant patient variables, length, width, height of th...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12173
更新日期：2015-05-01 00:00:00
abstract：OBJECTIVE:Fusobacterium nucleatum is an anaerobic gram-negative bacilli that is one of the oral and other mucosal surface microbiota. It involves a wide range of human diseases and was first found in periodontal diseases, but reports of bone-related infections caused by F. nucleatum are rare, especially periprosthetic ...
journal_title：Orthopaedic surgery
pub_type：
doi：10.1111/os.12844
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVE:To compare the superior-level facet joint violations (FJV) between robot-assisted (RA) percutaneous pedicle screw placement and conventional open fluoroscopic-guided (FG) pedicle screw placement in a prospective cohort study. METHODS:This was a prospective cohort study without randomization. One-hundred pati...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12534
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:To evaluate the clinical outcomes of anterior and posterior instrumentation with different debridement and graft fusion methods for multi-level contiguous thoracic spinal tuberculosis. METHODS:We retrospectively evaluated 81 patients with multi-level contiguous thoracic spinal tuberculosis who underwent ante...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12288
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVE:To evaluate the bi-planar robot navigation system for insertion of cannulated screws in femoral neck fractures. METHOD:Between January 2016 and December 2016, 60 patients with femoral neck fractures were separately treated using percutaneous cannulated screws assisted by the bi-planar robot navigation system...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12450
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:To review the long-term clinical results after revision surgery and the relationship between the different clinical variables involved with a failed total knee arthroplasty (TKA) and its evolution to provide a better understanding of the current treatment methods. METHODS:The present study involved 89 subjec...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12593
更新日期：2020-02-01 00:00:00
