Instrumentação anterior da coluna em espondilite tuberculosa mal de pott: Relato de caso

Farage, Luciano; Martins, Johnny Wesley Gonçalves; Filho, Miguel Farage

doi:10.1590/s0004-282x2002000100026

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…Unlike cervical spine fusion, which requires less autologous bone, anterior lumbar reconstruction not only requires more autologous bone, but also requires bicortical or tripcortical bone to provide support. In 2002, Farage et al first reported the use of titanium mesh for intervertebral bone graft support to reconstruct the anterior spinal column for the treatment of spinal tuberculosis ( 25 ). The titanium mesh has a simple structure and has a good biocompatibility and strong support strength.…”

Section: Discussionmentioning

confidence: 99%

Avulsion fracture of the anterior superior iliac crest following autograft for anterior lumbar fusion: case report and literature review

Ge,

Dong,

et al. 2024

Front. Surg.

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Avulsion fracture of the anterior superior iliac crest (ASIC) following autogenous bone grafting for anterior lumbar fusion (ALF) is an extremely rare complication. We describe a very rare case of avulsion fracture of the ASIC following autograft for ALF in a revision surgery for treating lumbar tuberculosis. A 68-year-old woman with lumbar tuberculosis underwent posterior debridement and posterior iliac crest bone graft fusion; however, her lumbar tuberculosis recurred 9 months after surgery. She then underwent a lumbar revision surgery, including removal of the posterior instrumentation and debridement, followed by anterior L2 corpectomy, debridement, anterior left iliac crest bone graft fusion, and internal fixation. When walking for the first time on postoperative day 3, she experienced a sharp, sudden-onset pain in the anterior iliac crest harvest area. X-ray revealed an avulsion fracture of the ASIC. Considering her failure to respond to conservative treatment for one week and large displacement of the fracture ends, an open reduction and internal fixation surgery was scheduled. Her pain symptoms were significantly relieved after the operation. Although rare, fracture of the ASIC following autograft for ALF should not be ignored. Fracture of the ASIC is usually treated conservatively. Additional surgical treatment is required only when intractable pain fails to respond to conservative treatment or when there is a large displacement of fracture ends that are not expected to heal spontaneously.

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Section: Discussionmentioning

confidence: 99%

Avulsion fracture of the anterior superior iliac crest following autograft for anterior lumbar fusion: case report and literature review

Ge,

Dong,

et al. 2024

Front. Surg.

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Pott Disease in the Thoracolumbar Spine With Marked Kyphosis and Progressive Paraplegia Necessitating Posterior Vertebral Column Resection and Anterior Reconstruction With a Cage

Pappou

Papadopoulos²,

Swanson³

et al. 2006

Spine

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A 70-year-old patient with progressive Pott paraplegia and severe kyphotic deformity, for whom medical treatment failed is presented. A posterior vertebral column resection, multiple level posterior decompression, and instrumented fusion, followed by an anterior interbody fusion with cage was used to decompress the spinal cord, restore sagittal alignment, and debride the infection. At 6-month follow-up, the patient obtained excellent pain relief, correction of deformity, elimination of the tuberculous foci, and significant recovery of neurologic function.

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Surgical Treatment Results of Spinal Tuberculosis with Combined Anterior and Posterior Approach

Hosseinpour-Feizi¹,

Elmi²

2007

J. of Medical Sciences

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Instrumentação anterior da coluna em espondilite tuberculosa mal de pott: Relato de caso

Cited by 3 publications

References 12 publications

Avulsion fracture of the anterior superior iliac crest following autograft for anterior lumbar fusion: case report and literature review

Avulsion fracture of the anterior superior iliac crest following autograft for anterior lumbar fusion: case report and literature review

Pott Disease in the Thoracolumbar Spine With Marked Kyphosis and Progressive Paraplegia Necessitating Posterior Vertebral Column Resection and Anterior Reconstruction With a Cage

Surgical Treatment Results of Spinal Tuberculosis with Combined Anterior and Posterior Approach

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