title: Single-stage posterior transforaminal lumbar interbody fusion, debridement, limited decompression, 3-column reconstruction, and posterior instrumentation in surgical treatment for single-segment lumbar spinal tuberculosis.
abstract: OBJECTIVE
  The aim of this study is to determine the feasibility and efficacy of surgical management of single-segment lumbar spinal tuberculosis (TB) by using single-stage posterior transforaminal lumbar interbody fusion, debridement, limited decompression, 3-column reconstruction, and posterior instrumentation.
  
  
  METHODS
  Seventeen cases of single-segment lumbar TB were treated with single-stage posterior transforaminal lumbar interbody fusion, debridement, limited decompression, 3-column reconstruction, and posterior instrumentation. The mean follow-up was 36.9 months (range: 24-62 months). The kyphotic angle ranged from 15.2-35.1° preoperatively, with an average measurement of 27.8°. The American Spinal Injury Association (ASIA) score system was used to evaluate the neurological deficits and erythrocyte sedimentation rate (ESR) used to judge the activity of TB.
  
  
  RESULTS
  Spinal TB was completely cured in all 17 patients. There was no recurrent TB infection. The postoperative kyphotic angle was 6.6-10.2°, 8.1° in average, and there was no significant loss of the correction at final follow-up. Solid fusion was achieved in all cases. Neurological condition in all patients was improved after surgery.
  
  
  CONCLUSIONS
  Single-stage posterior transforaminal lumbar interbody fusion, debridement, limited decompression, 3-column reconstruction, and posterior instrumentation can be a feasible and effective method the in treatment of single-segment lumbar spinal TB.
authors.affiliation: Xiangya Hospital of Central South University, Department of Spine Surgery, Changsha, People's Republic of China.
authors.forename: Hao
authors.initials: H
authors.lastname: Zeng
authors.affiliation: Xiangya Hospital of Central South University, Department of Spine Surgery, Changsha, People's Republic of China.
authors.forename: Xiyang
authors.initials: X
authors.lastname: Wang
authors.affiliation: Xiangya Hospital of Central South University, Department of Spine Surgery, Changsha, People's Republic of China.
authors.forename: Penghui
authors.initials: P
authors.lastname: Zhang
authors.affiliation: Xiangya Hospital of Central South University, Department of Spine Surgery, Changsha, People's Republic of China.
authors.forename: Wei
authors.initials: W
authors.lastname: Peng
authors.affiliation: Xiangya Hospital of Central South University, Department of Spine Surgery, Changsha, People's Republic of China.
authors.forename: Zheng
authors.initials: Z
authors.lastname: Liu
authors.affiliation: Xiangya Hospital of Central South University, Department of Spine Surgery, Changsha, People's Republic of China.
authors.forename: Yupeng
authors.initials: Y
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003646:Debridement / Q000379:methods*; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D007738:Kyphosis; D017116:Low Back Pain / Q000209:etiology; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013123:Spinal Fusion / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014399:Tuberculosis, Spinal / Q000601:surgery*; D055815:Young Adult