One-stage posterior debridement and transpedicular screw fixation for treating monosegmental thoracic and lumbar spinal tuberculosis in adults.
Spinal tuberculosis is still prevalent in some developing countries. The purpose of this study is to investigate the efficacy and safety of one-stage posterior debridement, autogenous bone grafting, and transpedicular screw fixation in treating monosegmental thoracic and lumbar tuberculosis in adults. 37 patients were retrospectively reviewed in this study. The data of images, operative time and blood loss volume, perioperative complications, time to achieve bony fusion, VAS score, and neurologic function preoperatively and postoperatively were collected. The mean follow-up period was 21.5 ± 3.5 months. The tuberculosis was cured after surgery in all patients, and no recurrence was observed. Bony fusion was achieved in all patients with a mean time of 5.6 ± 2.5 months. Neurological outcome did not change in one case with grade A, and increased by 1-3 grades in the other patients with nerve deficit. The average preoperative and postoperative VAS scores were 5.5 ± 2.23 and 1.5 ± 1.22, respectively; the difference was significant (P < 0.05). There were three perioperative complications (8.1%, 3/37) observed in this study. In conclusion, the procedure of one-stage posterior debridement, interbody fusion with autogenous bone grafting, and posterior fixation with pedicle screw is effective and safe for treating monosegmental thoracic and lumbar spinal tuberculosis in adults.
Department of Orthopedic Surgery, The First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Donghu District, Jiangxi Province, Nanchang 330006, China.
Zhili
Z
Liu
Department of Orthopedic Surgery, The First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Donghu District, Jiangxi Province, Nanchang 330006, China.
Jiaming
0000-0002-4565-1523
J
Liu
Department of Orthopedic Surgery, Jiangxi University of Traditional Chinese Medicine, Nanchang 330006, China.
Aifeng
A
Peng
Department of Orthopedic Surgery, The First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Donghu District, Jiangxi Province, Nanchang 330006, China.
Xinhua
X
Long
Department of Orthopedic Surgery, The First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Donghu District, Jiangxi Province, Nanchang 330006, China.
Dong
D
Yang
Department of Orthopedic Surgery, The First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Donghu District, Jiangxi Province, Nanchang 330006, China.
Shanhu
S
Huang
D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D003646:Debridement; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D065289:Pedicle Screws; D011183:Postoperative Complications; D012189:Retrospective Studies; D013904:Thoracic Vertebrae / Q000473:pathology / Q000601:surgery*; D014399:Tuberculosis, Spinal / Q000601:surgery*; D055815:Young Adult