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| ZHANG Hongqi,LI Jinsong,GUO Chaofeng.Posterior short-segment instrumenation and anterior debridement and fusion for lower lumbar spinal tuberculosis in children[J].Chinese Journal of Spine and Spinal Cord,2011,(10):830-834. |
| Posterior short-segment instrumenation and anterior debridement and fusion for lower lumbar spinal tuberculosis in children |
| Received:March 24, 2011 Revised:April 29, 2011 |
| English Keywords:Spinal tuberculosis Low lumbar Children Short-segment internal fixation |
| Fund:基金项目：湖南省社会发展科技支撑计划重点项目（2009SK2012） |
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| English Abstract: |
| 【Abstract】 Objective：To evaluate the surgical methods and clinical effect of posterior short-segment instrumenation and anterior debridement and fusion for lower lumbar spinal tuberculosis in children.Method：9 children with lower lumbar spinal tuberculosis in our institute between May 2004 and February 2008 were reviewed retrospectively.There were 5 males and 4 females with a mean age at surgery of 7.8 years old（range，5 to 11）.There was Frankel′s grade B in 1 patient，grade C in 3 and grade D in 5.The mean preoperative local lordosis angle was-8.6°±7.4°（rangｅ，-18°-4°）.No significant lumbar kyphosis wａｓ noted in all cases．2 cases had 1 vertebral body involved ｒｅｓｐｅｃｔｉｖｅｌｙ，7 cases had 2 vertebral bodies involved ｒｅｓｐｅｃｔｉｖｅｌｙ and 1 case had 3 vertebral bodies involved.All cases underwent posterior short-segment instrumentation followed by second-stage anterior debridement and fusion.Preoperative，postoperative and final follow-up lordosis angleｓ were recorded and compared.Fusion status and neurological function were evaluated.Result：Ａll cases were followed-up for a mean of 41.0±7.8 months（rangｅ，30 - 53 months）.The postoperative lordoｓｉｓ angle averaged 8.8°±1.7°（rangｅ 5°- 11°），which showed significant difference between pre and postoperative lordoｓｉｓ angle（P<0.05）.The final follow-up lordoｓｉｓ angle averaged 7.3°±1.7°（rangｅ，5°-10°），and no significant loss of correction was noted（P>0.05）.All cases except one Frankel D got complete neurological recovery at final follow-up.No instrument failure was noted.Bony fusion was achieved in all cases without recurrence.Conclusion：Posterior short-segment instrumenation and anterior debridement and fusion is indicated for lower lumbar spinal tuberculosis complicated with no significant lumbar kyphosis in children. |
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