A retrospective controlled study of three different operative approaches for the treatment of thoracic and lumbar spinal tuberculosis: Three years of follow-up

Liu, Peng; Sun, Maosheng; Li, Shijun; Wang, Zhihui; Guo-qiang, Ding

doi:10.1016/j.clineuro.2014.10.019

Cited by 24 publications

(26 citation statements)

References 18 publications

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“…The standard surgical protocols include vertebrectomy and debridement, nerve decompression, and reconstruction of the spinal alignment with artificial internal implants. [3,4] With respect to surgical issues, reconstruction of the normal vertebral alignment is most challenging. The surgical reconstruction must provide sufficient and lasting mechanical strength and spinal stability.…”

Section: Introductionmentioning

confidence: 99%

Utilization of ring-shaped bone allograft for surgical treatment of adolescent post-tubercular kyphosis

Yin

Liu²,

Liu³

et al. 2017

Medicine

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This study aimed to investigate the mid-term outcome of ring-shaped bone allografts in the surgical treatment of adolescent post-tubercular kyphosis secondary to spinal tuberculosis.The records of adolescent patients diagnosed with spinal tuberculosis who received treatment in our department between 2009 and 2013 were retrospectively reviewed. The anterior approach was used in cases of cervical kyphosis and the posterior approach was used in cases of thoracic and lumbar kyphosis. During the surgery, the ring-shaped bone was used as a structural bone graft associated with the cancellous bone filing in the center portion of the ring shape. Cobb's angle, signs of spinal infusion on computed tomography, and complications were followed up.A total of 25 patients were included in our study. Among them, 3 involved the cervical region, 5 involved the thoracic region, 8 involved the thoracolumbar region, and 9 involved the lumbar region. The preoperative kyphosis deformity was a mean 65° Cobb's angle (40°–97°) compared to the postoperative 14° Cobb's angle (10°–21°) for an average correction of 51°. All wounds healed well without graft rejection. All patients achieved bone fusion 3 months postoperative for a 100% fusion rate.Our results show that the ring-shaped allograft bone is an effective option for the treatment of adolescent kyphosis. The ring-shaped allograft bone demonstrated satisfactory mechanical strength and vertebral fusion without mid-term metallic toxicity.

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Section: Introductionmentioning

confidence: 99%

Utilization of ring-shaped bone allograft for surgical treatment of adolescent post-tubercular kyphosis

Yin

Liu²,

Liu³

et al. 2017

Medicine

Self Cite

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“…Recently, several studies have investigated the optimal operative approach for the treatment of thoracic spinal tuberculosis. Liu et al (8) suggested that the anterior-approach, posterior-approach and combined anterior and posterior approach could all effectively internal fixation on the adjacent healthy vertebrae can further ensure the maintenance of kyphosis correction. Additionally, it may be questioned that the motion and function of the fixed segment would be sacrificed in the posterior-approach, thus leading to degeneration of neighboring segments.…”

Section: █ Resultsmentioning

confidence: 99%

One-stage posterior approach in the treatment of consecutive multi-segment thoracic tuberculosis with kyphosis

Zhong

Kong²,

Sun³

et al. 2017

Turkish Neurosurgery

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“…Due to the huge abscesses and neurological deficits, a CT-guided percutaneous drainage of the abscess and posterior instrumentation was performed in sequence. This is very different from treatments performed previously (30)(31)(32)(33). The CT-guided percutaneous drainage not only removed the abscess and improved the patient's general condition with local chemotherapy (isoniazid), but also avoided the use of anterior or anterolateral approach open surgery, which may lead to postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and management of spinal tuberculosis combined with brucellosis: A case report and literature review

2018

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Abstract. Tuberculosis combined with brucellosis is a very rare condition. Overlapping clinical presentation and laboratory parameters of tuberculosis and brucellosis may lead to misdiagnosis or delayed diagnosis of the condition. The current study presents the case of a 45-year-old male with symptoms of lower back pain, non-tender swelling in the right flank, intermittent hyperpyrexia, sweating, body aches and numbness and weakness of right lower limb. A lumbar computed tomograph (CT) scan and magnetic resonance imaging indicated vertebral destruction and the formation of sequestra and thecal sac compression. Tuberculosis was suspected, but subsequent culture of blood and pus revealed the co-infection of Mycobacterium tuberculosis and Brucella melitensis. The patient was treated with antibiotics, CT-guided percutaneous drainage of the abscess and posterior approach decompression, debridement, instrumentation and fusion. Co-existence of spinal tuberculosis and brucellosis is rare and clinicians should strengthen the awareness of such conditions in similar patients. CT-guided percutaneous drainage is effective in the diagnosis and management of spinal tuberculosis with abscess.

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A retrospective controlled study of three different operative approaches for the treatment of thoracic and lumbar spinal tuberculosis: Three years of follow-up

Cited by 24 publications

References 18 publications

Utilization of ring-shaped bone allograft for surgical treatment of adolescent post-tubercular kyphosis

Utilization of ring-shaped bone allograft for surgical treatment of adolescent post-tubercular kyphosis

One-stage posterior approach in the treatment of consecutive multi-segment thoracic tuberculosis with kyphosis

Diagnosis and management of spinal tuberculosis combined with brucellosis: A case report and literature review

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