Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Experimental and Therapeutic Medicine
Join Editorial Board Propose a Special Issue
Print ISSN: 1792-0981 Online ISSN: 1792-1015
Journal Cover
June-2015 Volume 9 Issue 6

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
June-2015 Volume 9 Issue 6

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Article

Two one‑stage posterior approaches for treating thoracic and lumbar spinal tuberculosis: A retrospective case‑control study

  • Authors:
    • Zhengquan Xu
    • Xiyang Wang
    • Xiongjie Shen
    • Ping Wu
    • Xiaoyang Pang
    • Chengke Luo
    • Hao Zeng
  • View Affiliations / Copyright

    Affiliations: Department of Spine Surgery, the Xiangya Hospital of Central South University, Changsha, Hunan 410008, P.R. China, Department of Spine Surgery, the Hunan Provincial People's Hospital, Changsha, Hunan 410002, P.R. China
  • Pages: 2269-2274
    |
    Published online on: March 20, 2015
       https://doi.org/10.3892/etm.2015.2377
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

The aim of this retrospective study was to analyze the results of two surgical treatments for thoracic and lumbar spinal tuberculosis. A total of 73 patients with monosegmental thoracic or lumbar spinal tuberculosis were enrolled from January 2006 to April 2011. The patients were divided into two groups. Patients in group A (n=34) underwent one‑stage posterior debridement, limited decompression, bone grafting and internal fixation combined with lamina reconstruction, while those in group B (n=39) underwent one‑stage posterior debridement, decompression, bone grafting and posterior instrumentation. Clinical and radiographic results were analyzed and compared between the groups. Patients were followed for a mean 31.3 months (range, 21‑42 months). Fusion occurred at 4‑12 months (mean, 7.7 months). Surgical complications affected one and five patients in groups A and B, respectively. There was extraction of internal fixation in two group B patients. Postoperatively, there was significant Cobb angle correction in the two groups. By the last follow‑up, the Cobb angle and correction loss in group A were significantly better than that in group B; the group A Oswestry Disability Index and Frankel grade were better than that in group B. In conclusion, one‑stage posterior limited decompression, bone grafting and internal fixation combined with lamina reconstruction enables rapid management of monosegmental thoracic and lumbar spinal tuberculosis with fewer complications and minimal invasion.
View Figures

Figure 1

Figure 2

Figure 3

View References

1 

Chen WJ, Chen CH and Shih CH: Surgical treatment of tuberculous spondylitis. 50 patients followed for 2–8 years. Acta Orthop Scand. 66:137–142. 1995. View Article : Google Scholar : PubMed/NCBI

2 

Garst RJ: Tuberculosis of the spine: a review of 236 operated cases in an underdeveloped region from 1954 to 1964. J Spinal Disord. 5:286–300. 1992. View Article : Google Scholar : PubMed/NCBI

3 

Gautam MP, Karki P, Rijal S and Singh R: Pott's spine and paraplegia. JNMA J Nepal Med Assoc. 44:106–115. 2005.PubMed/NCBI

4 

Fuentes Ferrer M, Gutiérrez Torres L, Ayala Ramírez O, Rumayor Zarzuelo M and del Prado González N: Tuberculosis of the spine. A systematic review of case series. Int Orthop. 36:221–231. 2012.

5 

Cavuşoğlu H, Kaya RA, Türkmenoğlu ON, Tuncer C, Colak I and Aydin Y: A long-term follow-up study of anterior tibial allografting and instrumentation in the management of thoracolumbar tuberculous spondylitis. J Neurosurg Spine. 8:30–38. 2008. View Article : Google Scholar : PubMed/NCBI

6 

Moon MS, Moon YW, Moon JL, Kim SS and Sun DH: Conservative treatment of tuberculosis of the lumbar and lumbosacral spine. Clin Orthop Relat Res. 398:40–49. 2002. View Article : Google Scholar : PubMed/NCBI

7 

Rajasekaran S and Shanmugasundaram TK: Prediction of the angle of gibbus deformity in tuberculosis of the spine. J Bone Joint Surg Am. 69:503–509. 1987.PubMed/NCBI

8 

Rajasekaran S: The natural history of post-tubercular kyphosis in children. Radiological signs which predict late increase in deformity. J Bone Joint Surg Br. 83:954–962. 2001. View Article : Google Scholar : PubMed/NCBI

9 

Jain AK: Tuberculosis of the spine: a fresh look at an old disease. J Bone Joint Surg Br. 92:905–913. 2010. View Article : Google Scholar : PubMed/NCBI

10 

McDonnell MF, Glassman SD, Dimar JR II, Puno RM and Johnson JR: Perioperative complications of anterior procedures on the spine. J Bone Joint Surg Am. 78:839–847. 1996.PubMed/NCBI

11 

Ikard RW: Methods and complications of anterior exposure of the thoracic and lumbar spine. Arch Surg. 141:1025–1034. 2006. View Article : Google Scholar : PubMed/NCBI

12 

Garg B, Kandwal P, Nagaraja UB, Goswami A and Jayaswal A: Anterior versus posterior procedure for surgical treatment of thoracolumbar tuberculosis: A retrospective analysis. Indian J Orthop. 46:165–170. 2012. View Article : Google Scholar : PubMed/NCBI

13 

Lee CK, Vessa P and Lee JK: Chronic disabling low back pain syndrome caused by internal disc derangements. The results of disc excision and posterior lumbar interbody fusion. Spine. 20:356–361. 1995. View Article : Google Scholar : PubMed/NCBI

14 

Zhang HQ, Li JS, Zhao SS, Shao YX, Liu SH, Gao Q, Lin MZ, Liu JY, Wu JH and Chen J: Surgical management for thoracic spinal tuberculosis in the elderly: posterior only versus combined posterior and anterior approaches. Arch Orthop Trauma Surg. 132:1717–1723. 2012. View Article : Google Scholar : PubMed/NCBI

15 

Moon MS: Tuberculosis of the spine. Controversies and a new challenge. Spine. 22:1791–1797. 1997. View Article : Google Scholar : PubMed/NCBI

16 

Moon MS, Woo YK, Lee KS, Ha KY, Kim SS and Sun DH: Posterior instrumentation and anterior interbody fusion for tuberculous kyphosis of dorsal and lumbar spines. Spine. 20:1910–1916. 1995. View Article : Google Scholar : PubMed/NCBI

17 

Lee SH, Sung JK and Park YM: Single-stage transpedicular decompression and posterior instrumentation in treatment of thoracic and thoracolumbar spinal tuberculosis: a retrospective case series. J Spinal Disord Tech. 19:595–602. 2006. View Article : Google Scholar : PubMed/NCBI

18 

Talu U, Gogus A, Ozturk C, Hamzaoglu A and Domanic U: The role of posterior instrumentation and fusion after anterior radical debridement and fusion in the surgical treatment of spinal tuberculosis: experience of 127 cases. J Spinal Disord Tech. 19:554–559. 2006. View Article : Google Scholar : PubMed/NCBI

19 

Jarrett CD, Heller JG and Tsai L: Anterior exposure of the lumbar spine with and without an ‘access surgeon’: morbidity analysis of 265 consecutive cases. J Spinal Disord Tech. 22:559–564. 2009. View Article : Google Scholar : PubMed/NCBI

20 

Denis F: The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine. 8:817–831. 1983. View Article : Google Scholar : PubMed/NCBI

21 

Ogden AT, Bresnahan L, Smith JS, Natarajan R and Fessler RG: Biomechanical comparison of traditional and minimally invasive intradural tumor exposures using finite element analysis. Clin Biomech (Bristol, Avon). 24:143–147. 2009. View Article : Google Scholar : PubMed/NCBI

22 

Xie J, Li T, Wang Y, Zhao Z, Zhang Y and Bi N: Change in Cobb angle of each segment of the major curve after posterior vertebral column resection (PVCR): a preliminary discussion of correction mechanisms of PVCR. Eur Spine J. 21:705–710. 2012. View Article : Google Scholar : PubMed/NCBI

23 

Degreif J, Wenda K, Runkel M and Ritter G: Rotational stability of the thoracolumbar spine after interlaminar ultrasound window, hemilaminectomy and laminectomy. A comparative experimental study. Unfallchirurg. 97:250–255. 1994.[(In German)]. PubMed/NCBI

24 

Raimondi AJ, Gutierrez FA and Di Rocco C: Laminotomy and total reconstruction of the posterior spinal arch for spinal canal surgery in childhood. J Neurosurg. 45:555–560. 1976. View Article : Google Scholar : PubMed/NCBI

25 

Matsui H, Kanamori M and Miaki K: Expansive laminoplasty for lumbar intradural lipoma. Int Orthop. 21:185–187. 1997. View Article : Google Scholar : PubMed/NCBI

26 

Shikata J, Yamamuro T, Shimizu K and Saito T: Combined laminoplasty and posterolateral fusion for spinal canal surgery in children and adolescents. Clin Orthop Relat Res. 259:92–99. 1990.PubMed/NCBI

27 

Louw JA: Spinal tuberculosis with neurological deficit. Treatment with anterior vascularised rib grafts, posterior osteotomies and fusion. J Bone Joint Surg Br. 72:686–693. 1990.PubMed/NCBI

28 

Chandler K and Cappello R: Laminectomy membrane formation in dogs: is the answer still elusive? Vet J. 172:1–2. 2006. View Article : Google Scholar : PubMed/NCBI

29 

Ross JS, Robertson JT, Frederickson RC, Petrie JL, Obuchowski N, Modic MT and deTribolet N: Association between peridural scar and recurrent radicular pain after lumbar discectomy: magnetic resonance evaluation. ADCON-L European Study Group. Neurosurgery. 38:855–861; discussion 861–863. 1996. View Article : Google Scholar : PubMed/NCBI

30 

Fritsch EW, Heisel J and Rupp S: The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments. Spine. 21:626–633. 1996. View Article : Google Scholar : PubMed/NCBI

31 

Pande KC and Babhulkar SS: Atypical spinal tuberculosis. Clin Orthop Relat Res. 398:67–74. 2002. View Article : Google Scholar : PubMed/NCBI

32 

Rajasekaran S: The problem of deformity in spinal tuberculosis. Clin Orthop Relat Res. 398:85–92. 2002. View Article : Google Scholar : PubMed/NCBI

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Xu Z, Wang X, Shen X, Wu P, Pang X, Luo C and Zeng H: Two one‑stage posterior approaches for treating thoracic and lumbar spinal tuberculosis: A retrospective case‑control study. Exp Ther Med 9: 2269-2274, 2015.
APA
Xu, Z., Wang, X., Shen, X., Wu, P., Pang, X., Luo, C., & Zeng, H. (2015). Two one‑stage posterior approaches for treating thoracic and lumbar spinal tuberculosis: A retrospective case‑control study. Experimental and Therapeutic Medicine, 9, 2269-2274. https://doi.org/10.3892/etm.2015.2377
MLA
Xu, Z., Wang, X., Shen, X., Wu, P., Pang, X., Luo, C., Zeng, H."Two one‑stage posterior approaches for treating thoracic and lumbar spinal tuberculosis: A retrospective case‑control study". Experimental and Therapeutic Medicine 9.6 (2015): 2269-2274.
Chicago
Xu, Z., Wang, X., Shen, X., Wu, P., Pang, X., Luo, C., Zeng, H."Two one‑stage posterior approaches for treating thoracic and lumbar spinal tuberculosis: A retrospective case‑control study". Experimental and Therapeutic Medicine 9, no. 6 (2015): 2269-2274. https://doi.org/10.3892/etm.2015.2377
Copy and paste a formatted citation
x
Spandidos Publications style
Xu Z, Wang X, Shen X, Wu P, Pang X, Luo C and Zeng H: Two one‑stage posterior approaches for treating thoracic and lumbar spinal tuberculosis: A retrospective case‑control study. Exp Ther Med 9: 2269-2274, 2015.
APA
Xu, Z., Wang, X., Shen, X., Wu, P., Pang, X., Luo, C., & Zeng, H. (2015). Two one‑stage posterior approaches for treating thoracic and lumbar spinal tuberculosis: A retrospective case‑control study. Experimental and Therapeutic Medicine, 9, 2269-2274. https://doi.org/10.3892/etm.2015.2377
MLA
Xu, Z., Wang, X., Shen, X., Wu, P., Pang, X., Luo, C., Zeng, H."Two one‑stage posterior approaches for treating thoracic and lumbar spinal tuberculosis: A retrospective case‑control study". Experimental and Therapeutic Medicine 9.6 (2015): 2269-2274.
Chicago
Xu, Z., Wang, X., Shen, X., Wu, P., Pang, X., Luo, C., Zeng, H."Two one‑stage posterior approaches for treating thoracic and lumbar spinal tuberculosis: A retrospective case‑control study". Experimental and Therapeutic Medicine 9, no. 6 (2015): 2269-2274. https://doi.org/10.3892/etm.2015.2377
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team