Turkish Neurosurgery
One-stage posterior approach in the treatment of consecutive multi-segment thoracic tuberculosis with kyphosis
Zhong Nanzhe1, Kong Jinhai1, Sun Zhengwang1, Qian Ming1, Liu Tielong1, Xiao Jianru1
1Changzheng Hospital, Second Military Medical University, Department of Orthopedic oncology, Shanghai,
DOI: 10.5137/1019-5149.JTN.19263-16.2
Aim:This study is to evaluate the clinical efficacy of one-stage posterior approach in treating consecutive multiple-segment thoracic tuberculosis with kyphosis.Material and Methods:A retrospective study was performed. The data of 22 patients with consecutive multi-level thoracic tuberculosis who underwent one-stage posterior approach of debridement, bone grafting, and drainage with pedicle screws fixation were collected. The kyphotic angle was 61.6°±3.1° pre-operatively. The neurologic status based on ASIA scoring were A in 5 cases, B in 4 cases, C in 9 cases, D in 3 cases and E in 1 case.Results:The average followed-up visit period was 43.4±5.0 months. The kyphotic angle was 19.8°±0.7° after operation (P<0.01), and 21.9°±1.2° at the last visit (p<0.01). No neurological deterioration was observed in all patients after surgery. A significant difference in ASIA score was detected before the operation and at the last visit (P<0.01). There was no recurrent paravertebral abscess of the thoracic tuberculosis in all these cases.Conclusion:The current study showed one-stage posterior approach of debridement and drainage is a feasible surgical option for consecutive multi-segment thoracic tuberculosis with kyphosis. It can achieve the debridement, decompression, and stabilization simultaneously.
Corresponding author : Xiao Jianru