Abstract：
BACKGROUND:There has been no consensus regarding what is the optimal means of treating lumbosacral segment tuberculosis. The aim of this study was to evaluate the clinical outcomes of our newly developed one-stage anterior debridement and fusion combined with dual screw-rod construct anterior instrument underneath the iliac vessels for lumbosacral spinal tuberculosis. METHODS:We retrospectively reviewed 22 patients with lumbosacral spinal tuberculosis who underwent one-stage anterior debridement and fusion combined with dual screw-rod anterior instrument underneath the iliac vessels between January 2004 and June 2013. We assessed the visual analogue scale (VAS), erythrocyte sedimentation rates (ESR), neurological performance, kyphotic angles, fusion rates, and computed tomographic angiography (CTA) before and after surgery. RESULTS:All patients were followed-up for a mean of 46.59 months. There were no instances of spinal tuberculosis recurrence. The mean VAS scores and ESR decreased significantly from the preoperative levels both postoperatively and at the final follow-up (all P <0.001). The mean kyphotic angle significantly increased from the mean preoperative angle both postoperatively and at the final follow-up (both P <0.001). All patients had bone fusion at a mean of five months after surgery. No postoperative vascular complications were observed. CONCLUSIONS:Our findings suggest that anterior radical debridement, fusion combined with dual screw-rod anterior instrument underneath the iliac vessels can be an effective and safe treatment option for lumbosacral segment tuberculosis.
journal_name
BMC Musculoskelet Disordjournal_title
BMC musculoskeletal disordersauthors
Zhang T,He X,Li H,Xu Sdoi
10.1186/s12891-016-0902-5subject
Has Abstractpub_date
2016-02-01 00:00:00pages
49issn
1471-2474pii
10.1186/s12891-016-0902-5journal_volume
17pub_type
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/1471-2474-13-228
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journal_title：BMC musculoskeletal disorders
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doi：10.1186/1471-2474-14-180
更新日期：2013-06-08 00:00:00
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journal_title：BMC musculoskeletal disorders
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更新日期：2008-06-05 00:00:00
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更新日期：2017-03-13 00:00:00
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更新日期：2009-12-21 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
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更新日期：2017-04-17 00:00:00
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更新日期：2017-06-07 00:00:00
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abstract：BACKGROUND:The course of pain at a specific region such as the lower back has previously been shown as well as for generalized pain. However we have not found any report on the course of pain from various different specific regions. The aim of this investigation was to study the one-year transition of reported pain in ...
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