Journal
WORLD NEUROSURGERY
Volume 165, Issue -, Pages E22-E29Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.wneu.2022.04.039
Keywords
Adolescent; Kyphosis deformity; Surgery; Thoracic and lumbar tuberculosis
Categories
Ask authors/readers for more resources
One-stage PVCR is an effective surgical method for treating severe kyphotic deformity caused by adolescent thoracic and lumbar spinal tuberculosis. It significantly improves postoperative ASIA classification and Cobb angle, achieving bony fusion.
BACKGROUND: Our study aims to investigate the clinical outcome of 1-stage posterior vertebral column resection (PVCR) for adolescent thoracic and lumbar tuberculosis with severe kyphotic deformity (Cobb angle >= 60 degrees). METHODS: Between January 2008 and January 2016, we recorded 16 (9 male, 7 female) adolescent cases of thoracic and lumbar tuberculosis complicated with severe kyphotic deformity treated by 1-stage PVCR (average age: 15.38 +/- 1.54 years; range: 13-18 years). The Cobb angle of kyphosis was 64.56 degrees +/- 3.41 degrees. According to the American Spinal Injury Association (ASIA) classification, all patients were classified preoperatively. The lesions involved T4-T11 in 10 cases and T12-L2 in 6 cases. RESULTS: The mean follow-up time was 19.06 +/- 11.42 months (range: 12-48 months). Based on ASIA classification, postoperative grades were significantly increased compared with preoperative grades (P < 0.05), The mean Cobb angle was significantly corrected to 20.25 degrees +/- 13.83 degrees at 1 week after surgery, when compared with preoperative Cobb angle (P < 0.05). There was no significant difference in Cobb angle between 1-week after operation and the last follow-up (20.69 degrees +/- 13.83 degrees) (P > 0.05). All the patients achieved bony fusion at a mean time of 14 months (range: 10-20 months) postoperatively. No fixation loosening, displacement, or fracture was observed during follow-up. CONCLUSIONS: One-stage PVCR is an effective surgical method for the treatment of adolescent thoracic and lumbar spinal tuberculosis with severe kyphotic deformity, which can completely remove the lesion, effectively correct the kyphosis deformity, and prevent related complications.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available