Abstract:
STUDY DESIGN:Thirty-nine adults and five children with active spinal tuberculosis and resulting kyphosis of the dorsal and lumbar spine who had combined posterior instrumentation and anterior interbody fusion were observed to determine whether the corrected spinal deformity could be maintained until solid fusion. OBJECTIVE:To evaluate the effectiveness of the combined two-stage procedure for treating kyphosis due to active spinal tuberculosis. SUMMARY OF BACKGROUND DATA:Until 1970, with all methods of treatment, kyphosis due to active spinal tuberculosis tended to increase during therapy. Most of the patients treated with these methods were not happy with this residual kyphosis, even though their disease was arrested or cured. Kyphosis became their main concern regarding further treatment. METHODS:A combined two-stage procedure, under the cover of 18 months of triple chemotherapy, was used for all patients. For posterior stabilization, the Harrington distraction system, Rush nails or Steinmann pins and wires, and Texas Scottish Rite Hospital instrumentation were used. The diagnosis of successful interbody fusion was made if there was no loss of correction, no graft resorption or graft bed resorption, and if there was visible graft remodeling, such as trabeculation between the graft beds and graft and the graft hypertrophy. RESULTS:In the 39 adults, average preoperative, immediate postoperative, and last follow-up kyphosis angles were 37 degrees, 16 degrees, and 18 degrees, respectively. In four children, the average preoperative, immediate postoperative, and last follow-up kyphosis angles were 55 degrees, 28 degrees, and 31 degrees, respectively. The loss of correction did not exceed 3 degrees. For one-segment spondylodesis, the average fusion times were 4 months in adults and 3.5 months in children. For a two-segment fusion, the average fusion times were 6 months in adults and 6.3 months in children. CONCLUSION:Posterior instrumental stabilization and anterior interbody fusion were found helpful in arresting the disease early, providing early fusion, preventing progression of kyphosis, and correcting the kyphosis.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Moon MS,Woo YK,Lee KS,Ha KY,Kim SS,Sun DHdoi
10.1097/00007632-199509000-00013subject
Has Abstractpub_date
1995-09-01 00:00:00pages
1910-6issue
17eissn
0362-2436issn
1528-1159journal_volume
20pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:The effect of an EP1 receptor antagonist on pain-related behavior induced by nucleus pulposus (NP) applied to the dorsal root ganglion (DRG) in rats was investigated. OBJECTIVE:We investigated pain-related behavior, the amount of prostaglandin E2 (PGE2), and neural damage to the DRG after application of N...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181fa1fca
更新日期:2011-10-15 00:00:00
abstract:STUDY DESIGN:A case report. OBJECTIVE:To describe a case of traumatic lumbosacral spondyloptosis and present a literature review. SUMMARY OF BACKGROUND DATA:Traumatic spondyloptosis is a very rare injury caused by high-energy trauma. Eight cases of traumatic spondyloptosis of L5-S1 have been reported, including only ...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318268c08a
更新日期:2012-10-15 00:00:00
abstract:STUDY DESIGN:A consecutive series of female patients with adolescent idiopathic scoliosis treated between 1968 and 1977, either with distraction and fusion using Harrington rods (n = 145) or with a brace (n = 122), were followed for at least 20 years after completion of the treatment. OBJECTIVES:To determine the long-...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200107010-00015
更新日期:2001-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective chart review of 103 cases. OBJECTIVES:To describe the clinical use of magnetic resonance imaging in a pyogenic vertebral osteomyelitis. SUMMARY OF BACKGROUND DATA:Long delays in diagnosing pyogenic vertebral osteomyelitis of the spine have been shown in many reports. Magnetic resonance imag...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199704010-00015
更新日期:1997-04-01 00:00:00
abstract:STUDY DESIGN:A prospective double-blind randomized trial in 31 patients. OBJECTIVES:To assess the clinical efficacy of percutaneous radiofrequency denervation of the lumbar zygapophysial joints in reducing pain, functional disability, and physical impairment in patients with back pain originating from the lumbar zygap...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-199909150-00013
更新日期:1999-09-15 00:00:00
abstract:STUDY DESIGN:Retrospective review of prospectively collected data. OBJECTIVE:To evaluate (1) if the segmental resection of the content of the spinal canal could provide an Enneking appropriate tumor-free margin for local control of primary bone tumors surrounding and invading the canal and (2) the safety profile of th...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003356
更新日期:2020-05-15 00:00:00
abstract:STUDY DESIGN:Prospective measurement of rhBMP-2 from drains in a cohort of patients undergoing posterolateral spinal fusion. OBJECTIVE:To quantify the amount of rhBMP-2 that extravasates into drains after posterolateral fusion using its current commercially available form, rhBMP-2 within an absorbable collagen sponge....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817b6229
更新日期:2008-07-01 00:00:00
abstract:STUDY DESIGN:A case report is presented. OBJECTIVES:To present a very rare case of orally ingested sex hormone pills inducing nondurally attached meningioma in the lumbosacral region. SUMMARY OF BACKGROUND DATA:Meningiomas are known to enlarge in response to female sex hormones. At this writing, few cases of nondural...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200208150-00025
更新日期:2002-08-15 00:00:00
abstract:STUDY DESIGN:Destructive compression tests and finite element analyses were conducted to investigate the biomechanical strength at the graft-endplate interface in anterior cervical fusion. OBJECTIVES:To investigate the effect of endplate thickness, endplate holes, and bone mineral density of the vertebral body on the ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200104150-00021
更新日期:2001-04-15 00:00:00
abstract::The authors attempted to investigate the effect of vibration on the physiologic behavior of the intervertebral disc from rheologic and biological responses. Using fresh disc-cartilaginous end plate complexes of porcine coccygeal vertebrae, the frequency characteristics of dynamic compressive elastic modulus and dissip...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199203001-00002
更新日期:1992-03-01 00:00:00
abstract:STUDY DESIGN:A genetic association study of estrogen receptor 2 gene (ESR2) polymorphisms in idiopathic scoliosis (IS). OBJECTIVE:To investigate association of the ESR2 polymorphisms with either predisposition to or progression of IS in Central European population. SUMMARY OF BACKGROUND DATA:In ESR2 the rs1256120 pol...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000643
更新日期:2014-12-15 00:00:00
abstract::The Perdriolle torsionmeter assesses vertebral rotation on a spinal radiograph. It is frequently used to measure improvement in spinal derotation following Cotrel-Dubousset instrumentation for scoliosis. In this study, intraobserver and interobserver measurement error was examined during use of the torsionmeter. Intra...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199205000-00008
更新日期:1992-05-01 00:00:00
abstract:STUDY DESIGN:Animal experimental study with intervention. OBJECTIVE:The aim of this study was to elucidate therapeutic effects of delayed granulocyte colony-stimulating factor treatment for mechanical allodynia induced by chronic constriction injury (CCI) of the sciatic nerve in rats. SUMMARY OF BACKGROUND DATA:Granu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000108
更新日期:2014-02-01 00:00:00
abstract::This paper described 27 patients who had seemingly stable compression cervical vertebral fractures. All were treated in cervicothoracic orthoses. None was initially treated in a Halo device or with surgery. Twenty patients were stable and healed without progressive displacement, angulation, or pain. One patient demons...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198310000-00002
更新日期:1983-10-01 00:00:00
abstract:STUDY DESIGN:A biomechanical study comparing two materials for augmentation of osteoporotic vertebral bodies and vertebral bodies after compression fracture. OBJECTIVES:To compare an injected, biodegradable calcium phosphate bone substitute with injected polymethylmethacrylate bone cement for strengthening osteoporoti...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199908010-00004
更新日期:1999-08-01 00:00:00
abstract::A study has been made of the mechanism of action of intradiscal injections of preparations of chymopapain in the treatment of sciatica. Such preparations were found to contain at least four distinct proteins, but enzymatically active chymopapain was the component mainly responsible for releasing glycosaminoglycan from...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198609000-00006
更新日期:1986-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of a multicenter, prospective adult spinal deformity (ASD) database. OBJECTIVE:We hypothesized that increased age and increased preoperative disability would negatively impact both the length of time needed to achieve maximal recovery and the amount of functional improvement achieved....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001062
更新日期:2015-10-01 00:00:00
abstract:STUDY DESIGN:In this study, 330 patients with incapacitating low back pain underwent temporary external transpedicular fixation (TETF) of the lumbosacral spine in a prospective trial. OBJECTIVE:To evaluate TETF as a test for selecting suitable candidates for segmental spinal fusion. SUMMARY OF BACKGROUND DATA:Few stu...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.brs.0000190868.57106.4d
更新日期:2005-12-15 00:00:00
abstract:STUDY DESIGN:This is a prospective, randomized, double-blinded comparison of tranexamic acid (TXA), epsilon aminocaproic acid (EACA), and placebo used intraoperatively in patients with adult spinal deformity. OBJECTIVE:The purpose of this study was to provide high-quality evidence regarding the comparative efficacies ...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0000000000000799
更新日期:2015-04-15 00:00:00
abstract:STUDY DESIGN:Psychomotor speed (reaction time) and postural control (center point of force velocity) among healthy control volunteers and patients with chronic low back pain (LBP) were studied at the beginning of an active, functional, restoration back rehabilitation program and 5 months after the program. OBJECTIVES:...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199611150-00012
更新日期:1996-11-15 00:00:00
abstract::This report concerns 15 adults (nine men and six women) who experienced lumbar and sciatic pain associated with an unusual defect of the edges of the vertebral bodies together with a small bony ridge protruding into the spinal canal. This lesion was well demonstrated by computed tomography and easily differentiated fr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199212000-00011
更新日期:1992-12-01 00:00:00
abstract:STUDY DESIGN:Multicenter, prospective analysis of consecutive patients with adult spinal deformity (ASD). OBJECTIVE:Identify age-related radiographical parameters associated with poor health-related quality of life (HRQOL) and treatment preferences for ASD. SUMMARY OF BACKGROUND DATA:Patients with ASD report discrepa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000414
更新日期:2014-08-01 00:00:00
abstract::Anatomical study of L4 nerve branch, L5 nerve root, and bony stock in the sacroiliac region was performed in cadaveric specimens to provide anatomical references for anterior fixation of the sacroiliac joint. At 1 cm intervals along the sacro-iliac joint, the distance to the lateral border of the L4 nerve branch (to t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199403001-00014
更新日期:1994-03-15 00:00:00
abstract::This study was designed to examine the effect of varying degrees of imposed leg length difference on symmetry of the innominate bones in healthy college women with relatively equal leg lengths. Subjects' leg length was determined by clinical and roentgenographic procedures. Position of the innominate bones with and wi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199303000-00012
更新日期:1993-03-01 00:00:00
abstract::In this study, the authors evaluated the stiffness of motion segments in intact spines in two spine fracture models, and with each of five implant systems used for posterior fixation of thoracolumbar spine fractures. The devices represented a cross-section of types, including those employing sublaminar wires with and ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198805000-00003
更新日期:1988-05-01 00:00:00
abstract:STUDY DESIGN:An intraoperative sonographic study for evaluating spinal cord decompression status was conducted. OBJECTIVES:To analyze the spinal cord decompression status using intraoperative sonography and to evaluate the relation to postoperative neurologic recovery following cervical laminoplasty. SUMMARY OF BACKG...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318155784d
更新日期:2007-10-01 00:00:00
abstract:STUDY DESIGN:Fifty-two practices in the East Midlands, United Kingdom, were included. OBJECTIVES:To test the hypothesis that referral for lumbar spine radiography is cost-effective in primary care patients with low back pain of at least 6 weeks' duration compared with usual care in which referral is not routine. SUMM...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-200210150-00021
更新日期:2002-10-15 00:00:00
abstract::Six cases of spontaneous fracture of the odontoid process in rheumatoid arthritis are presented. Fifty-one patients with atlantoaxial subluxation in rheumatoid arthritis underwent surgery between 1981 and 1990. This included six patients (in 10%) who had subluxation accompanied by fracture of the odontoid without appa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199210001-00016
更新日期:1992-10-01 00:00:00
abstract::A randomized clinical trial of 30 patients with refractory lumbar disc disease with evidence of a herniation at a single intervertebral space on the myelogram is presented. Collagenase or a saline placebo was injected into the affected disc. Lack of pain reduction or lack of functional improvement was considered a the...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-198407000-00012
更新日期:1984-07-01 00:00:00
abstract:STUDY DESIGN:A case report of a rare symptomatic, idiopathic, noncommunicating intradural arachnoid cyst (IAC) of the proximal part of the S1 nerve root (NR). OBJECTIVE:To discuss the possible pathophysiology, clinical and magnetic resonance imaging (MRI) presentation, intraoperative findings, and follow-up of IAC of ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181fd679a
更新日期:2011-06-15 00:00:00