Posterior instrumentation using compressive laminar hooks and anterior interbody arthrodesis for the treatment of tuberculosis of the lower lumbar spine

Spine
Dong-Jun KimK Daniel Riew

Abstract

A retrospective review with clinical and radiologic assessment was conducted. To demonstrate the feasibility of posterior short segment augmentation with lamina hook and anterior lumbar interbody arthrodesis in tuberculosis of the lumbar spine by evaluating clinical results, fusion status, and sagittal angle. There are few articles in the literature describing circumferential treatment of lumbar tuberculosis. We have had significant experience with a uniform operative technique for the treatment of this relatively rare condition and report our results with a minimum 2-year follow-up. Twenty-three patients with tuberculosis of the lower lumbar spine underwent posterior instrumentation with laminar hooks and anterior interbody arthrodesis by a single surgeon. The clinical outcomes were evaluated with preoperative and postoperative questionnaires, and the radiographs were independently analyzed with respect to fusion status and sagittal angle. RESULTS.: The mean follow-up period was 28.7 months (range, 24-39 months). The average preoperative, immediate postoperative, and final follow-up sagittal angles were 2.7 degrees, -14.1 degrees, and -11.5 degrees, respectively. There was a mean reduction of 16.7 degrees (range, 9 degrees-23 ...Continue Reading

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Citations

Jan 9, 2007·International Orthopaedics·E OguzA R Vaccaro
Jul 1, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Erden ErturerIrfan Ozturk
Oct 12, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Malhar N KumarRavikiran Manur
Oct 7, 2008·Journal of Spinal Disorders & Techniques·Alper GokceMustafa Caniklioğlu
Jan 7, 2010·Journal of Spinal Disorders & Techniques·Akihiro HirakawaKatsuji Shimizu
Oct 27, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Xin Hua YinHong Qi Zhang
Jan 23, 2016·Orthopaedic Surgery·Fei LuoJian-zhong Xu
Aug 26, 2016·Asian Spine Journal·Pankaj KandwalArvind Jayaswal
Apr 18, 2007·Clinical Orthopaedics and Related Research·Anil K Jain, Ish Kumar Dhammi
Apr 20, 2014·Case Reports in Orthopedics·Mehmet Nuri ErdemMehmet Tezer
May 6, 2019·The Journal of Spinal Cord Medicine·Jian ShenXiaozhang Ying
Jul 29, 2016·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Bing RanLin Cai

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