Comparison between single anterior and single posterior approaches of debridement interbody fusion and fixation for the treatment of mono-segment lumbar spine tuberculosis
Purpose To compare the efficacy of single anterior and single posterior approach of debridement, interbody fusion, and fixation for the treatment of mono-segment lumbar spine tuberculosis (TB) patients. Methods Eighty-seven patients with mono-segment lumbar TB who underwent debridement, interbody fu...
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Published in | Archives of orthopaedic and trauma surgery Vol. 142; no. 12; pp. 3643 - 3649 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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Berlin/Heidelberg
Springer Berlin Heidelberg
01.12.2022
Springer Nature B.V |
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Abstract | Purpose
To compare the efficacy of single anterior and single posterior approach of debridement, interbody fusion, and fixation for the treatment of mono-segment lumbar spine tuberculosis (TB) patients.
Methods
Eighty-seven patients with mono-segment lumbar TB who underwent debridement, interbody fusion, and fixation through either single anterior (Group A) or single posterior approach (Group B) from January 2007 to January 2017 were enrolled in this study. The duration of the operation, blood loss, complication rate, visual analog scale (VAS), Oswestry disability index (ODI), Frankel scale, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), kyphosis angle, correction rate, correction loss, and time taken for bone graft fusion were compared between the groups.
Results
The average period of follow-up was 34.3 ± 9.5 months (24–56 months). No significant differences were observed between patients in Group A and patients in Group B in terms of gender, age, body mass index (BMI), duration of illness and preoperative evaluative indices (
P
> 0.05). The mean operation time and blood loss was significantly higher in Group A (
P
= 0.000), along with a slightly higher rate of complications compared with Group B (
P
= 0.848). The VAS, ODI and Frankel scale scores showed significant improvement in both groups (
P
= 0.000), along with the ESR, CRP and kyphosis indices (
P
= 0.000), which were similar in both groups at the final follow-up.
Conclusion
Both single anterior and single posterior approaches of debridement, interbody fusion and fixation are effective for mono-segment lumbar TB patients, although the single posterior approach is of a shorter duration and results in less blood loss. |
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AbstractList | PurposeTo compare the efficacy of single anterior and single posterior approach of debridement, interbody fusion, and fixation for the treatment of mono-segment lumbar spine tuberculosis (TB) patients.MethodsEighty-seven patients with mono-segment lumbar TB who underwent debridement, interbody fusion, and fixation through either single anterior (Group A) or single posterior approach (Group B) from January 2007 to January 2017 were enrolled in this study. The duration of the operation, blood loss, complication rate, visual analog scale (VAS), Oswestry disability index (ODI), Frankel scale, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), kyphosis angle, correction rate, correction loss, and time taken for bone graft fusion were compared between the groups.ResultsThe average period of follow-up was 34.3 ± 9.5 months (24–56 months). No significant differences were observed between patients in Group A and patients in Group B in terms of gender, age, body mass index (BMI), duration of illness and preoperative evaluative indices (P > 0.05). The mean operation time and blood loss was significantly higher in Group A (P = 0.000), along with a slightly higher rate of complications compared with Group B (P = 0.848). The VAS, ODI and Frankel scale scores showed significant improvement in both groups (P = 0.000), along with the ESR, CRP and kyphosis indices (P = 0.000), which were similar in both groups at the final follow-up.ConclusionBoth single anterior and single posterior approaches of debridement, interbody fusion and fixation are effective for mono-segment lumbar TB patients, although the single posterior approach is of a shorter duration and results in less blood loss. Purpose To compare the efficacy of single anterior and single posterior approach of debridement, interbody fusion, and fixation for the treatment of mono-segment lumbar spine tuberculosis (TB) patients. Methods Eighty-seven patients with mono-segment lumbar TB who underwent debridement, interbody fusion, and fixation through either single anterior (Group A) or single posterior approach (Group B) from January 2007 to January 2017 were enrolled in this study. The duration of the operation, blood loss, complication rate, visual analog scale (VAS), Oswestry disability index (ODI), Frankel scale, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), kyphosis angle, correction rate, correction loss, and time taken for bone graft fusion were compared between the groups. Results The average period of follow-up was 34.3 ± 9.5 months (24–56 months). No significant differences were observed between patients in Group A and patients in Group B in terms of gender, age, body mass index (BMI), duration of illness and preoperative evaluative indices ( P > 0.05). The mean operation time and blood loss was significantly higher in Group A ( P = 0.000), along with a slightly higher rate of complications compared with Group B ( P = 0.848). The VAS, ODI and Frankel scale scores showed significant improvement in both groups ( P = 0.000), along with the ESR, CRP and kyphosis indices ( P = 0.000), which were similar in both groups at the final follow-up. Conclusion Both single anterior and single posterior approaches of debridement, interbody fusion and fixation are effective for mono-segment lumbar TB patients, although the single posterior approach is of a shorter duration and results in less blood loss. Abstract Purpose To compare the efficacy of single anterior and single posterior approach of debridement, interbody fusion, and fixation for the treatment of mono-segment lumbar spine tuberculosis (TB) patients. Methods Eighty-seven patients with mono-segment lumbar TB who underwent debridement, interbody fusion, and fixation through either single anterior (Group A) or single posterior approach (Group B) from January 2007 to January 2017 were enrolled in this study. The duration of the operation, blood loss, complication rate, visual analog scale (VAS), Oswestry disability index (ODI), Frankel scale, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), kyphosis angle, correction rate, correction loss, and time taken for bone graft fusion were compared between the groups. Results The average period of follow-up was 34.3 ± 9.5 months (24–56 months). No significant differences were observed between patients in Group A and patients in Group B in terms of gender, age, body mass index (BMI), duration of illness and preoperative evaluative indices ( P > 0.05). The mean operation time and blood loss was significantly higher in Group A ( P = 0.000), along with a slightly higher rate of complications compared with Group B ( P = 0.848). The VAS, ODI and Frankel scale scores showed significant improvement in both groups ( P = 0.000), along with the ESR, CRP and kyphosis indices ( P = 0.000), which were similar in both groups at the final follow-up. Conclusion Both single anterior and single posterior approaches of debridement, interbody fusion and fixation are effective for mono-segment lumbar TB patients, although the single posterior approach is of a shorter duration and results in less blood loss. |
Author | Li, Weiwei Cui, Yaqing Fan, Yayi Gong, Liqun Liu, Jun Zhou, Yongchun Wu, Hangli |
Author_xml | – sequence: 1 givenname: Hangli surname: Wu fullname: Wu, Hangli organization: Department of Orthopedic, Shaanxi Provincial People’s Hospital, Department of Plastic and Reconstructive Surgery, Shaanxi Provincial People’s Hospital – sequence: 2 givenname: Yaqing surname: Cui fullname: Cui, Yaqing organization: Department of Orthopedic, Shaanxi Provincial People’s Hospital – sequence: 3 givenname: Liqun surname: Gong fullname: Gong, Liqun organization: Department of Orthopedic, Shaanxi Provincial People’s Hospital – sequence: 4 givenname: Jun surname: Liu fullname: Liu, Jun organization: Department of Orthopedic, Shaanxi Provincial People’s Hospital – sequence: 5 givenname: Yayi surname: Fan fullname: Fan, Yayi organization: Department of Orthopedic, Shaanxi Provincial People’s Hospital – sequence: 6 givenname: Yongchun surname: Zhou fullname: Zhou, Yongchun organization: Department of Orthopedic, Shaanxi Provincial People’s Hospital – sequence: 7 givenname: Weiwei surname: Li fullname: Li, Weiwei email: lww205@sina.com organization: Department of Orthopedic, Shaanxi Provincial People’s Hospital |
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Cites_doi | 10.1016/j.spinee.2013.11.014 10.1186/s13018-018-1021-9 10.3171/2016.9.SPINE16174 10.1017/S0950268817000863 10.1186/s40064-016-2243-0 10.1016/S0901-5027(89)80102-X 10.1097/BRS.0b013e3181cb46ba 10.1016/j.spinee.2019.05.002 10.1097/MD.0000000000008574 10.1016/0020-1383(81)90178-9 10.1097/01.bsd.0000211202.93125.c7 10.1007/s00586-013-3051-7 10.1002/bjs.18004418508 10.1186/s12893-018-0405-4 10.1159/000069113 10.1007/s00586-016-4451-2 10.1007/s00586-012-2332-x 10.1007/s00402-010-1138-8 10.1016/j.injury.2015.03.023 10.1007/s00586-016-4546-9 10.1097/00007632-199310000-00028 10.1097/01.brs.0000182109.36973.93 |
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To compare the efficacy of single anterior and single posterior approach of debridement, interbody fusion, and fixation for the treatment of... Abstract Purpose To compare the efficacy of single anterior and single posterior approach of debridement, interbody fusion, and fixation for the treatment of... PurposeTo compare the efficacy of single anterior and single posterior approach of debridement, interbody fusion, and fixation for the treatment of... PURPOSETo compare the efficacy of single anterior and single posterior approach of debridement, interbody fusion, and fixation for the treatment of... |
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SubjectTerms | Abscesses Back pain Body mass index Chemotherapy Debridement Infections Males Medicine Medicine & Public Health Orthopaedic Surgery Orthopedics Patients Skin & tissue grafts Surgery Tuberculosis |
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Title | Comparison between single anterior and single posterior approaches of debridement interbody fusion and fixation for the treatment of mono-segment lumbar spine tuberculosis |
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