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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 543 - 552 (10page)
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초록· 키워드
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Study Design: Retrospective study. Purpose: To compare the neurological outcome of transforaminal debridement and interbody fusion with transpedicular decompression for treatment of thoracic and lumbar spinal tuberculosis. Overview of Literature: Few articles have addressed the impact of neurological recovery in patients with tuberculosis who were treated by two different operative methods via the posterior-only approach. Methods: Clinical and radiographic results of one-stage posterior instrumented spinal fusion for treatment of tuberculous spondylodiscitis with neurological deficits were reviewed and analyzed from 2009 to 2013. The extensive (E) group consisted of patients who received transforaminal debridement and interbody fusion, whereas transpedicular decompression was performed on limited (L) group. Rapid recovery was improvement of at least one Frankel grade within 6 weeks after operation. Otherwise, it was slow recovery. Results: All 39 patients had improved neurological signs. The median follow-up period was 24 months. Proportionately younger patients (under 65 years of age) received extensive surgery (15 of 18, 83.3% vs. 11 of 21, 52.4%; p =0.04). The mean operative time and blood loss in the group E were higher than in the group L (both p <0.01). With regard to type of procedure, especially at thoracic and thoracolumbar spine, patients who underwent extensive surgery had rapid neurological recovery significantly different from those of limited surgery (p =0.01; Relative Risk, 3.06; 95% Confidence Interval, 1.13 to 8.29). Conclusions: Transforaminal debridement and interbody fusion provides more rapid neurological recovery in patients with thoracic and thoracolumbar spinal tuberculosis compared to transpedicular decompression.
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등록된 정보가 없습니다.
참고문헌 (4)
참고문헌 신청
Muangchan C / 2009 / The study of clinical manifestation of osteoarticular tuberculosis in Siriraj Hospital, Thailand / J Med Assoc Thai 92(Suppl 2):S101~S109
Rivas-Garcia A / 2013 / Imaging findings of Pott’s disease / Eur Spine J 22(Suppl 4):567~578
Mak KC / 2013 / Surgical treatment of acute TB spondylitis: indications and outcomes / Eur Spine J 22(Suppl 4):603~611
이규열 / 2014 / Comparison of Pyogenic Spondylitis and Tuberculous Spondylitis / Asian Spine Journal 8(2):216~223
Rivas-Garcia A / 2013 / Imaging findings of Pott’s disease / Eur Spine J 22(Suppl 4):567~578
Mak KC / 2013 / Surgical treatment of acute TB spondylitis: indications and outcomes / Eur Spine J 22(Suppl 4):603~611
이규열 / 2014 / Comparison of Pyogenic Spondylitis and Tuberculous Spondylitis / Asian Spine Journal 8(2):216~223
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