Document Detail

The results of simultaneous posterior-anterior-posterior surgery in multilevel tuberculosis spondylitis associated with severe kyphosis.
MedLine Citation:
PMID:  20589519     Owner:  NLM     Status:  MEDLINE    
We retrospectively studied the cases with tuberculous spondylitis of thoracolumbar region with two or more levels of involvement that underwent posterior instrumentation and fusion and anterior fusion with titanium mesh following anterior decompression using simultaneous successive posterior-anterior-posterior surgery. Among all patients with tuberculous spondylitis accompanied by medium or severe kyphosis, 20 patients who underwent simultaneous successive decompression, fusion and instrumentation with posterior-anterior-posterior surgery between 1999 and 2004 were included in the study. Patients were evaluated for fusion formation and neurological and functional status. Kyphosis angles were measured at early and long-term follow-up. Antituberculosis chemotherapy was initiated in all patients and continued for 9 months; initially as quadruple therapy for 3 months, and then as triple therapy. Average follow-up period was 52.7 months (range 37-94). Solid fusion was achieved in all patients. All patients returned to their previous occupation; 75% (15 subjects) with mild pain or no pain and 15% (3 subjects) with major limitations. There were 11 patients with neurological deficit, 9 of these achieved complete neurological recoveries. Regarding kyphosis angle, an average 35.1° correction (84.8%) was obtained in postoperative period (p < 0.001) and there was no significant correction loss during the follow-up period (p < 0.05). There were no grafts or instrumentation-related stabilization problems. In subjects with tuberculous spondylitis with involvements at two or more levels accompanied by medium and severe kyphosis, decompression, fusion and instrumentation by simultaneous successive posterior-anterior-posterior surgery is an effective and safe management method for effective kyphosis correction with high fusion rates.
Erden Erturer; Mehmet Tezer; Mehmet Aydogan; Cunety Mirzanlı; Irfan Ozturk
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Publication Detail:
Type:  Journal Article     Date:  2010-06-30
Journal Detail:
Title:  European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society     Volume:  19     ISSN:  1432-0932     ISO Abbreviation:  Eur Spine J     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-06     Completed Date:  2011-03-18     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  9301980     Medline TA:  Eur Spine J     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  2209-15     Citation Subset:  IM    
2nd Orthopedic Department, Sisli Eftal Research and Training Hospital, Sisli, Istanbul, Turkey.
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MeSH Terms
Decompression, Surgical / instrumentation,  methods*
Kyphosis / complications,  surgery*
Lumbar Vertebrae / surgery*
Middle Aged
Retrospective Studies
Spinal Fusion / instrumentation,  methods*
Spondylitis / complications,  surgery*
Thoracic Vertebrae / surgery*
Treatment Outcome
Tuberculosis, Spinal / complications,  surgery*

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