[Surgical treatment of tuberculous spondylitis using ceramic implants].
The use of osseous grafts in the treatment of tuberculous spondylitis is associated with substantial shortcomings, requiring a long-term bedside regimen, followed by fixation of the spine with a rigid corset. The application of ceramic implants allowed one to attack several tasks: to provide primary stabilization of the vertebral segment, to exclude corset fixation, to reduce a postoperative period and surgical traumatism by refusing to take an autograft. Forty nine operations were performed in patients aged 23-65 years. In the early postoperative period neurological disorders completely disappeared in 7 patients, the remaining has significant positive changes. Complete osteoceramic adhesion occurred 2-4 months later. Following 2 patients, 26 patients were stricken off the disability register. The remaining patients continued to be disabled (7 and 16 patients had disability groups 2 and 3, respectively) due to significant contaminant diseases.
Gruntovskiĭ
T Kh
TKh
Golka
G G
GG
Tantsura
A V
AV
D000328:Adult; D000368:Aged; D002516:Ceramics; D004185:Disability Evaluation; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D019736:Prostheses and Implants; D012189:Retrospective Studies; D013123:Spinal Fusion / Q000295:instrumentation*; D013166:Spondylitis / Q000382:microbiology / Q000534:rehabilitation / Q000601:surgery*; D016896:Treatment Outcome; D014399:Tuberculosis, Spinal / Q000382:microbiology / Q000534:rehabilitation / Q000601:surgery*
Operativnoe lechenie tuberkuleznogo spondilita s primeneniem keramicheskikh implantantov.