title: Surgical management of severe rigid tuberculous kyphosis of dorsolumbar spine.
abstract: To assess the effectiveness of deformity correction and safety of the two major corrective spinal surgical procedures, 35 patients, aged 14-47 years, were placed into two groups according to procedures performed. Sixteen patients (group A) had four-stage procedures including initial halo-pelvic distraction after anterior release and a subsequent three procedural steps plus brace. Nineteen patients (group B) had one-set two-stage procedures: wire segmental stabilisation in eight cases and rod/hook and/or pedicle screw stabilisation in 11 cases. Average preoperative kyphosis in group A was 88° and postoperative at zero, three, six, and 18 months were 29˚, 33˚, 35˚ and 35˚, respectively, while those of group B were 86˚ preoperative and postoperative 27˚, 31˚, 33˚, and 33˚, respectively. Neural complication developed in five cases: one in group A and four in group B. It was concluded that the one-set two-stage procedure is more efficient, time-saving, and cost-effective, though it is highly challenging with relatively high rates of neural complication.
authors.affiliation: Department of Orthopaedic Surgery, Cheju Halla General Hospital, 1963-2, Yeon-dong, Jeju, 690-766, Korea. msmoonos@hotmail.com
authors.forename: Myung-Sang
authors.initials: MS
authors.lastname: Moon
authors.forename: Sung-Soo
authors.initials: SS
authors.lastname: Kim
authors.forename: Bong-Jin
authors.initials: BJ
authors.lastname: Lee
authors.forename: Jeong-Lim
authors.initials: JL
authors.lastname: Moon
authors.forename: Young-Wan
authors.initials: YW
authors.lastname: Moon
mesh_terms: D000293:Adolescent; D000328:Adult; D001863:Bone Screws; D001864:Bone Wires; D001915:Braces; D003362:Cost-Benefit Analysis; D006801:Humans; D007738:Kyphosis / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D011859:Radiography; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D014394:Tuberculosis, Osteoarticular / Q000000981:diagnostic imaging / Q000601:surgery*; D055815:Young Adult