One-stage posterior approach for treating multilevel noncontiguous thoracic and lumbar spinal tuberculosis.

Abstract:

OBJECTIVES:Multilevel noncontiguous thoracic and lumbar spinal tuberculosis (MNST) is a relatively rare entity. The objective of this retrospective study was to investigate whether a technique involving a one-stage posterior debridement and decompression, combined with an intervertebral fusion and posterior instrumentation, is effective for treating MNST. METHODS:Thirteen patients, with an average age of 40.69 (18-67) years, who had MNST and were surgically treated in our department from January 2008 to October 2013, were reviewed. RESULTS:The average follow-up time was 37.54 ± 10.49 (19-58) months. The mean Cobb angle range was 15.69° ± 00A09.09° (-3° to 33°). The mean erythrocyte sedimentation rate (ESR) was 47.69 ± 9.30 mm/h (range 30-62 mm/h) before the operation. Neurological deficits were evaluated using the Frankel grade system. The mean Cobb angle decreased to 6.92° ± 3.93° postoperatively. Three months after the operation, the Cobb angle was 7.54° ± 4.35°, and the average ESR was 10.38 ± 4.54 mm/h that was normal for all cases in this retrospective observational study. Solid fusion was achieved in all cases. No severe complications occurred. CONCLUSIONS:The study demonstrated that a one-stage posterior debridement and decompression, combined with an intervertebral fusion and posterior instrumentation, was effective for treating MNST.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Chen RS,Liao X,Xiong ML,Chen FR,Wang BW,Huang JM,Chen XL,Yin GH,Liu HY,Jin DD

doi

10.1080/00325481.2019.1552824

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

73-77

issue

1

eissn

0032-5481

issn

1941-9260

journal_volume

131

pub_type

杂志文章
  • Small fiber neuropathy in coeliac disease and gluten sensitivity.

    abstract::Objectives: The commonest types of peripheral neuropathy in the context of Coeliac Disease (CD) and gluten sensitivity (GS) are length-dependent symmetrical sensorimotor neuropathies and sensory ganglionopathies. In patients with such neuropathy, (gluten neuropathy), peripheral neuropathic pain is prevalent suggesting...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.2019.1650609

    authors: Zis P,Sarrigiannis PG,Rao DG,Sanders DS,Hadjivassiliou M

    更新日期:2019-09-01 00:00:00

  • Diagnosis and management of chronic hepatitis B in the primary care setting.

    abstract::Chronic hepatitis B is a complex disease for which there are an increasing number of approved treatment options. Clinicians who strive to keep up to date on the diagnosis and treatment of hepatitis B will be in the best position to meet the challenge of managing patients with this serious infection. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2006.07.1745

    authors: Tsai N

    更新日期:2006-07-01 00:00:00

  • Cardiovascular safety of non-steroidal anti-inflammatory drugs revisited.

    abstract::Non-steroidal anti-inflammatory drugs (NSAIDs) have been widely used to treat inflammatory pain for decades. More recently, newer NSAIDs were developed to target the inducible isoform of cyclooxygenase (COX), COX-2, with the aim of reducing gastrointestinal toxicity. While the COX-2 selective inhibitors were effective...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.2018.1412799

    authors: Walker C,Biasucci LM

    更新日期:2018-01-01 00:00:00

  • Managing type 2 diabetes: balancing HbA1c and body weight.

    abstract::Most patients with type 2 diabetes present with comorbid overweight or obesity. Reaching and maintaining acceptable glycemic control is more difficult in overweight and obese patients, and these conditions are associated with increased risk for cardiovascular and other diseases. Glycemic management for these patients ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2010.05.2148

    authors: Mavian AA,Miller S,Henry RR

    更新日期:2010-05-01 00:00:00

  • Accuracy and clinical utility of a point-of-care HbA1c testing device.

    abstract:BACKGROUND:Point-of-care testing (POCT) is widely used to measure blood glucose levels in people with diabetes, although its use in measuring glycated hemoglobin (HbA1c) levels is less common, perhaps due to perceived performance issues and access to the technology. METHODS:Forty blood samples were analyzed in duplica...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.2013.05.2664

    authors: Knaebel J,Irvin BR,Xie CZ

    更新日期:2013-05-01 00:00:00

  • Hormone abnormalities in patients with severe and chronic pain who fail standard treatments.

    abstract::Some patients with severe and chronic pain fail to obtain adequate pain relief with standard pharmacologic treatment agents, including low to moderate dosages of opioids. Understandably, physicians might not believe patients who claim that a standard opioid dosage is an ineffective treatment. These patients may be sev...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.2014.996110

    authors: Tennant F

    更新日期:2015-01-01 00:00:00

  • Lactose intolerance. Pinpointing the source of nonspecific gastrointestinal symptoms.

    abstract::Lactose intolerance is a common condition that can cause nonspecific gastrointestinal symptoms. A reliable diagnosis cannot be made on the basis of the patient's history. The breath hydrogen test is simple, noninvasive, accurate, and inexpensive and is the diagnostic method of choice. In addition to traditional dietar...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1991.11700961

    authors: Montes RG,Perman JA

    更新日期:1991-06-01 00:00:00

  • Dermatoses: common in blacks.

    abstract::Some skin disorders are more common in blacks than in whites or are so rare in whites as to be almost peculiar to blacks. Pigmentary abnormalities, either dark or light spots, often occur in association with inflammatory skin diseases. Curvature of the hair follicle is thought to be at the root of two other painful co...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1977.11712223

    authors: Kenney JA Jr

    更新日期:1977-06-01 00:00:00

  • Narcotic maintenance for chronic pain. Medical and legal guidelines.

    abstract::Narcotic maintenance may be needed to relieve chronic pain in ambulatory patients who fail to respond to other pain therapies. Oral, long-acting narcotics are preferred, and nonnarcotic pain therapies can be administered simultaneously to reduce the narcotic dosage. To legally undertake narcotic maintenance, the physi...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1983.11698315

    authors: Tennant FS J,Uelmen GF

    更新日期:1983-01-01 00:00:00

  • Percutaneous transluminal angioplasty of the iliac artery.

    abstract::Stenosis in the right common iliac artery of a 61-year-old man was manifested as pain in the right leg and foot and cyanosis of the second and third toes. Dilatation of the lesion was performed using a Grüntzig catheter; arteriography and measurement of femoral artery pressure confirmed a successful result. The patien...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1980.11715543

    authors: Mathis JM,Goncharenko V,Zelenik ME

    更新日期:1980-09-01 00:00:00

  • Progressive congestive heart failure. Ways to approach office management.

    abstract::Treatment of congestive heart failure depends on the cause, precipitating factors, and symptoms of the disease in each patient. Dr Kahn outlines the use of the three main types of pharmacologic agents given for heart failure--diuretics, vasodilators, and digoxin. He describes a stepwise regimen, whereby agents are add...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1991.11700920

    authors: Kahn JK

    更新日期:1991-05-01 00:00:00

  • The place of inhaled corticosteroids in the treatment of chronic obstructive pulmonary disease: a narrative review.

    abstract::Inhaled corticosteroids (ICSs) belong to the armament for treatment of chronic obstructive pulmonary disease (COPD) and as such, they are widely used in real life. This is a narrative review on evidence-based papers published in the English language listed in Medline between 1990 and March 2016 discussing ICS applicat...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.2016.1186487

    authors: Andreeva-Gateva PA,Stamenova E,Gatev T

    更新日期:2016-06-01 00:00:00

  • Advantages of extended-release metformin in patients with type 2 diabetes mellitus.

    abstract::Metformin is a first-line pharmacological treatment for patients with type 2 diabetes mellitus because of its favorable overall profile, including its glucose-lowering ability, weight-neutral effects, and low risk of hypoglycemia; however, gastrointestinal (GI) intolerance may limit use in some patients. Extended-rele...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2011.01.2241

    authors: Jabbour S,Ziring B

    更新日期:2011-01-01 00:00:00

  • Atrial flutter. Tracing an elusive arrhythmia.

    abstract::Seven bried case reports representing variations of atrial flutter point up important considerations bearing on diagnosis: situations predisposing individuals to atrial flutter with 1:1 atrioventricular conduction, the need for special care in placing ECG leads for continuous monitoring, the use of carotid sinus massa...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1977.11714577

    authors: Glasser SP,Martinez-Lopez JI

    更新日期:1977-08-01 00:00:00

  • Resurgence of rheumatic fever in the United States. The changing picture of a preventable illness.

    abstract::The recent resurgence of rheumatic fever reported in eight locations in the United States after years of decline has several noteworthy characteristics. Most patients were children of families in high- to middle-income brackets with ready access to medical care. In four of the outbreaks, the majority of patients were ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1992.11701445

    authors: Ayoub EM

    更新日期:1992-09-01 00:00:00

  • Options in topical therapies in the management of patients with acute pain.

    abstract::The traditional cornerstones of analgesic therapy for patients with acute pain have been oral therapies; however, all oral agents exhibit a variety of potentially dose-limiting or intolerable adverse effects in patients. Elderly patients and those with concomitant conditions already being managed with multiple systemi...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.2013.1110567011

    authors: McCarberg B,D'Arcy Y

    更新日期:2013-07-01 00:00:00

  • Treating a transgender patient: overview of the guidelines.

    abstract::Transgenderism and gender dysphoria are becoming more prevalent diagnoses and the patient population is increasing. Primary care practitioners, endocrinologists, and mental health professionals are all part of the medical care team that treats these patients, but family and internal medicine physicians continue to del...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.2014.11.2840

    authors: Wilczynski C,Emanuele MA

    更新日期:2014-11-01 00:00:00

  • Update on Alzheimer's disease. Promising advances in detection and treatment.

    abstract::In the past decade, significant progress has been made in the understanding and treatment of Alzheimer's disease. Modest success has been achieved using new drugs in treatment of mild symptoms of the disease. Vitamin E, estrogen, and NSAIDs may slow the progression of Alzheimer's disease, but their routine use is not ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.1999.10.15.746

    authors: Burke JR,Morgenlander JC

    更新日期:1999-10-15 00:00:00

  • AIDS update.

    abstract::Acquired immunodeficiency syndrome (AIDS) is a new and frightening epidemic. Epidemiology has clearly delineated the mechanisms of spread as sexual intercourse, transfer of blood, and vertical transfer from infected mother to newborn child. Although much remains to be answered about infection with the AIDS virus, pres...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1989.11700636

    authors: Scutchfield FD,Benenson AS

    更新日期:1989-03-01 00:00:00

  • Otitis media reassessed.

    abstract::Preview Management of otitis media in children is a controversial matter: The basic questions of why, in whom, and how it should be treated are undergoing continual reassessment. In this article, Drs Shapiro and Bluestone provide answers to these and other questions, such as Why is treatment of acute otitis media just...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1995.11945992

    authors: Shapiro AM,Bluestone CD

    更新日期:1995-05-01 00:00:00

  • Psychopharmacology of chronic pain: a focus on antidepressants and atypical antipsychotics.

    abstract::Chronic pain is considered one of the most prevalent causes of costly and disabling medical conditions. This review will define chronic pain and its categories and then will summarize the effectiveness and side effects associated with the use of various antidepressants, including the tricyclics, the selective serotoni...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.2016.1147925

    authors: Khouzam HR

    更新日期:2016-01-01 00:00:00

  • Time-to-onset and -resolution of adverse events before/after atomoxetine discontinuation in adult patients with ADHD.

    abstract:BACKGROUND:Adults with attention-deficit/hyperactivity disorder treated with atomoxetine were examined for time-to-onset and -resolution of common treatment-emergent adverse events (TEAEs) and male sexual dysfunction, and for changes in blood pressure (BP) and heart rate (HR) upon atomoxetine discontinuation. METHODS:...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1080/00325481.2015.1083394

    authors: Upadhyaya H,Tanaka Y,Lipsius S,Kryzhanovskaya LA,Lane JR,Escobar R,Trzepacz PT,Allen AJ

    更新日期:2015-01-01 00:00:00

  • Recognizing and treating deep neck infection.

    abstract::Deep neck infection has ominous implications if not detected and treated in an early stage. The anatomic relationships of head and neck spaces encourage spread of infection. Immediate hospitalization and constant monitoring of the patient after diagnosis are mandatory. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1976.11714389

    authors: Johnson JT,Tucker HM

    更新日期:1976-06-01 00:00:00

  • Weight considerations in psychotropic drug prescribing and switching.

    abstract::Our review describes potential weight-altering effects of psychotropic medications (antipsychotics, antidepressants, anti-anxiety medications, mood stabilizers, sedative-hypnotics, medications for attention-deficit/hyperactivity disorder, and other psychotropic medications) and offers guidance on switching a medicatio...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2013.09.2706

    authors: Hasnain M,Vieweg WV

    更新日期:2013-09-01 00:00:00

  • Diagnosing acute otitis media: it's what you see, not what you hear.

    abstract::Diagnosing acute otitis media (AOM) is quite challenging for physicians and especially other healthcare providers. Although the new guidelines from the American Academy of Pediatrics/American Academy of Family Physicians provide some guidance for making the correct diagnosis of AOM, overdiagnosis will still remain a p...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.12.2005.suppl42.215

    authors: Block SL

    更新日期:2005-12-01 00:00:00

  • Ankylosing spondylitis.

    abstract::Preview Back pain can be a symptom of any number of problems, most commonly mechanical, or structural, in nature. Among the nonmechanical causes is ankylosing spondylitis, an inflammatory disease that involves the spine and sometimes other joints and extra-articular organs. Dr Escalante explains how to differentiate t...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1993.11945685

    authors: Escalante A

    更新日期:1993-07-01 00:00:00

  • Gram-negative bacteremia. Two cases in adults with chronic otitis media.

    abstract::Chronic otitis media was the cause of septicemia in two hospitalized men. The organisms involved, K pneumoniae and B fragilis, are not usually associated with primary infections of the middle ear and would not have been traced to this site had proper cultures not been performed. In adults, the true incidence of bacter...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:

    authors: Mowjood MM,Arroyo JC

    更新日期:1979-09-01 00:00:00

  • The changes before 'the change'.

    abstract::Preview The effects of waning ovarian function start before menstruation stops, and they can be medically important. What changes should women expect, and what preventive health measures can they take? When is oral contraceptive therapy appropriate? How can irregular bleeding and decreased vaginal lubrication best be ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1994.11945822

    authors: Bachmann AG

    更新日期:1994-04-01 00:00:00

  • Treatment of ischemic stroke. Lessons from clinical trials.

    abstract::The tools and methods of epidemiology, particularly the clinical trial, help guide the clinical practice of medicine. Dr Gorelick reviews the results of major clinical trials for prevention of transient cerebral ischemia and atherothrombotic stroke and assesses the effect of these findings on treatment. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1989.11704499

    authors: Gorelick PB

    更新日期:1989-12-01 00:00:00

  • Diet and coronary heart disease. Helping patients reduce serum cholesterol level.

    abstract::Although coronary heart disease (CHD) remains the No. 1 cause of death in the United States, the CHD mortality rate has shown a recent decline. This has been attributed to lower fat consumption in the general population, with associated lower serum cholesterol levels. Thus, diet seems to be an important factor in cont...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1985.11698970

    authors: Fletcher DJ,Rogers DA

    更新日期:1985-04-01 00:00:00