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Surgical management by one-stage posterior transforaminal lumbar debridement, interbody fusion, and posterior instrumentation for lumbo-sacral tuberculosis in the aged

  • Orthopaedic Surgery
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Abstract

Purpose

To evaluate the clinical study efficacy and feasibility of 17 aged patients with lumbo-sacral tuberculosis treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, and posterior instrumentation.

Methods

17 aged patients who suffered from lumbo-sacral tuberculosis were admitted into our hospital between March 2003 and October 2010. All of them were treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, and posterior instrumentation. Then the clinical efficacy with statistical analysis was evaluated based on the materials on the lumbo-sacral angle, neurological status that was recorded by Frankel grade system, and erythrocyte sedimentation rate (ESR), which were collected at certain time.

Results

The average follow-up period was 47.5 ± 17.1 months (17–71 months), In the 17 cases, no postoperative complications related to instrumentation occurred and neurologic function was improved in various degrees. The mean preoperative lumbo-sacral angle was 20.5° ± 1.7° (range 18.0°–23.0°). The lumbo-sacral angle became 29.1° ± 1.5° (range 26.4°–31.0°) postoperatively. The average pretreatment ESR was 57.4 ± 16.8 mm/h (33–95 mm/h), which got normal (9.2 ± 3.1 mm/h) within 3 months in all patients. All patients got bony fusion within 6–8 months after surgery.

Conclusions

One-stage posterior transforaminal lumbar debridement, interbody fusion, and posterior instrumentation can be an effective treatment method for the treatment of lumbo-sacral tuberculosis in the aged patients.

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Acknowledgments

This publication was funded in part by the Hunan Province Institute of Science and Technology (2009JT4011).

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Authors and Affiliations

  1. Department of Spine Surgery, Xiangya Hospital of Central South University, Xiangya Road 87, ChangSha, 410008, China

    Hong-qi Zhang, Min-zhong Lin, Lei Ge, Jin-song Li, Jian-huang Wu & Jin-yang Liu

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  1. Hong-qi Zhang
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  2. Min-zhong Lin
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  3. Lei Ge
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  4. Jin-song Li
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  5. Jian-huang Wu
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Correspondence to Hong-qi Zhang.

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Zhang, Hq., Lin, Mz., Ge, L. et al. Surgical management by one-stage posterior transforaminal lumbar debridement, interbody fusion, and posterior instrumentation for lumbo-sacral tuberculosis in the aged. Arch Orthop Trauma Surg 132, 1677–1683 (2012). https://doi.org/10.1007/s00402-012-1604-6

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  • DOI: https://doi.org/10.1007/s00402-012-1604-6

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