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Research article
Qiang Zhou
The third affiliated hospital of chongqing medical university
Corresponding Author
ORCiD: https://orcid.org/0000-0001-6253-329X
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Journal of Orthopaedic Surgery and Research.
Purpose: To compare the efficacy, safety, and technical characteristics of anterior-only and posterior-only approach surgeries for the treatment of consecutive multisegment thoracic and lumbar tuberculosis .
Methods: Thirty-five patients who developed consecutive multisegment thoracic and lumbar tuberculosis from September 2012 to May 2016 were retrospectively analyzed. Group A was the posterior-only surgery group, and group B was the anterior-only surgery group. The data on the surgery, deformity correction, functional scores and complications were compared between the two groups.
Results: There was no significant difference in the operation time or blood loss between groups A and B (P>0.05). The preoperative average Cobb angle of kyphosis in groups A and B were 36.2±15.2° and 27.9±7.7°, respectively, which significantly decreased to 4.9±11.8° and 10.4±5.6° after the operation, respectively (P<0.05). At the final follow-up, the angles were 7.1±10.5° and 14.6±8.0°, respectively. The correction angle and correction rate in group A (31.3±16.6°, 88.6±43.6%) were greater than those in group B (17.5±4.4°, 64.9±14.0%) (P<0.05). There was no significant difference in the loss angle between groups A and B (P>0.05), but the loss rate in group B (24.0±27.8%) was higher than that in group A (9.6±10.2%) (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05).
Conclusion: The posterior-only and anterior-only approaches can lead to satisfactory clinical results in the treatment of patients with consecutive multisegment thoracic and lumbar tuberculosis. With posterior-only surgery, kyphosis can be better corrected, and the correction can be better maintained than with anterior-only surgery.
Keywords
spinal tuberculosis, consecutive multisegment, kyphosis, posterior-only approach, anterior-only approach, deformity correction
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CURRENT STATUS: Published
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Posted 06 Aug, 2020
Published
On 20 Aug, 2020
No community comments so far
Editorial decision: Accept
On 08 Aug, 2020
Editor assigned
On 31 Jul, 2020
Submission checks complete
On 30 Jul, 2020
Editor invited
On 30 Jul, 2020
No comments provided
Editorial decision: Minor revision
On 27 Jul, 2020
Review #1 received
Received 26 Jul, 2020
Reviewer #2 agreed
On 18 Jul, 2020
Review #2 received
Received 18 Jul, 2020
Reviewer #1 agreed
On 16 Jul, 2020
Reviewers invited
Invitations sent on 15 Jul, 2020
Editor assigned
On 14 Jul, 2020
Submission checks complete
On 13 Jul, 2020
Editor invited
On 13 Jul, 2020
No comments provided
Editorial decision: Major revision
On 29 Jun, 2020
Reviewer #5 agreed
On 20 Jun, 2020
Review #1 received
Received 20 Jun, 2020
Reviewer #4 agreed
On 15 Jun, 2020
Review #3 received
Received 10 Jun, 2020
Reviewer #2 agreed
On 10 Jun, 2020
Reviewer #3 agreed
On 10 Jun, 2020
Review #2 received
Received 10 Jun, 2020
Reviewer #1 agreed
On 09 Jun, 2020
Reviewers invited
Invitations sent on 08 Jun, 2020
Editor assigned
On 05 Jun, 2020
Editor invited
On 04 Jun, 2020
Submission checks complete
On 22 May, 2020
First submitted
On 21 May, 2020
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Subject Areas
Orthopedic Surgery
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This preprint is under consideration at Journal of Orthopaedic Surgery and Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Qiang Zhou
The third affiliated hospital of chongqing medical university
Corresponding Author
ORCiD: https://orcid.org/0000-0001-6253-329X
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 3
Posted 06 Aug, 2020
Published
On 20 Aug, 2020
No community comments so far
Editorial decision: Accept
On 08 Aug, 2020
Editor assigned
On 31 Jul, 2020
Submission checks complete
On 30 Jul, 2020
Editor invited
On 30 Jul, 2020
No comments provided
Editorial decision: Minor revision
On 27 Jul, 2020
Review #1 received
Received 26 Jul, 2020
Reviewer #2 agreed
On 18 Jul, 2020
Review #2 received
Received 18 Jul, 2020
Reviewer #1 agreed
On 16 Jul, 2020
Reviewers invited
Invitations sent on 15 Jul, 2020
Editor assigned
On 14 Jul, 2020
Submission checks complete
On 13 Jul, 2020
Editor invited
On 13 Jul, 2020
No comments provided
Editorial decision: Major revision
On 29 Jun, 2020
Reviewer #5 agreed
On 20 Jun, 2020
Review #1 received
Received 20 Jun, 2020
Reviewer #4 agreed
On 15 Jun, 2020
Review #3 received
Received 10 Jun, 2020
Reviewer #2 agreed
On 10 Jun, 2020
Reviewer #3 agreed
On 10 Jun, 2020
Review #2 received
Received 10 Jun, 2020
Reviewer #1 agreed
On 09 Jun, 2020
Reviewers invited
Invitations sent on 08 Jun, 2020
Editor assigned
On 05 Jun, 2020
Editor invited
On 04 Jun, 2020
Submission checks complete
On 22 May, 2020
First submitted
On 21 May, 2020
Subject Areas
Orthopedic Surgery
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Journal of Orthopaedic Surgery and Research.
Purpose: To compare the efficacy, safety, and technical characteristics of anterior-only and posterior-only approach surgeries for the treatment of consecutive multisegment thoracic and lumbar tuberculosis .
Methods: Thirty-five patients who developed consecutive multisegment thoracic and lumbar tuberculosis from September 2012 to May 2016 were retrospectively analyzed. Group A was the posterior-only surgery group, and group B was the anterior-only surgery group. The data on the surgery, deformity correction, functional scores and complications were compared between the two groups.
Results: There was no significant difference in the operation time or blood loss between groups A and B (P>0.05). The preoperative average Cobb angle of kyphosis in groups A and B were 36.2±15.2° and 27.9±7.7°, respectively, which significantly decreased to 4.9±11.8° and 10.4±5.6° after the operation, respectively (P<0.05). At the final follow-up, the angles were 7.1±10.5° and 14.6±8.0°, respectively. The correction angle and correction rate in group A (31.3±16.6°, 88.6±43.6%) were greater than those in group B (17.5±4.4°, 64.9±14.0%) (P<0.05). There was no significant difference in the loss angle between groups A and B (P>0.05), but the loss rate in group B (24.0±27.8%) was higher than that in group A (9.6±10.2%) (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05).
Conclusion: The posterior-only and anterior-only approaches can lead to satisfactory clinical results in the treatment of patients with consecutive multisegment thoracic and lumbar tuberculosis. With posterior-only surgery, kyphosis can be better corrected, and the correction can be better maintained than with anterior-only surgery.
Figure 1
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