One-stage posterior focus debridement, fusion, and instrumentation in the surgical treatment of cervicothoracic spinal tuberculosis with kyphosis in children: a preliminary report
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Hong-Qi Zhang & Yu-Xiang Wang & Chao-feng Guo & Di Zhao & Ang Deng & Jian-Huang Wu & Jin-Yang Liu
- چاپ و سال / کشور: 2010
Description
Purpose To determine the efficacy and feasibility of surgical management of cervicothoracic tuberculosis accompanied by kyphosis in children by using one-stage posterior focus debridement, bone graft fusion, and instrumentation at a single institution. Methods Ten consecutive cases with cervicothoracic tuberculosis with kyphosis were treated with one-stage posterior focus debridement, bone graft fusion, and instrumentation. The mean follow-up was 36 months (range26–47 months). The kyphotic angle ranged from 35° to 62° before operation, 50.5° in average. The American Spinal Injury Association score system was used to evaluate the neurological deficits. Results Spinal tuberculosis was completely cured in all ten patients. There was no recurrent tuberculous infection. The postoperative kyphotic angle was 10° to 22°, 17.5° in average, and there was no significant loss of the correction at the latest follow-up. Solid fusion was achieved in all cases. Neurological condition in all patients was improved after surgery. Conclusions One-stage posterior debridement, bone grafting, and instrumentation can be an effective treatment method of cervicothoracic spinal tuberculosis with kyphosis in children
Childs Nerv Syst (2011) 27:735–742 DOI 10.1007/s00381-010-1319-3 Received: 5 May 2010 / Accepted: 15 October 2010 / Published online: 6 November 2010
