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.
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Posted 06 Aug, 2020
On 20 Aug, 2020
On 08 Aug, 2020
On 31 Jul, 2020
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On 30 Jul, 2020
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Received 26 Jul, 2020
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Received 18 Jul, 2020
On 16 Jul, 2020
Invitations sent on 15 Jul, 2020
On 14 Jul, 2020
On 13 Jul, 2020
On 13 Jul, 2020
On 29 Jun, 2020
On 20 Jun, 2020
Received 20 Jun, 2020
On 15 Jun, 2020
Received 10 Jun, 2020
On 10 Jun, 2020
On 10 Jun, 2020
Received 10 Jun, 2020
On 09 Jun, 2020
Invitations sent on 08 Jun, 2020
On 05 Jun, 2020
On 04 Jun, 2020
On 22 May, 2020
On 21 May, 2020
Posted 06 Aug, 2020
On 20 Aug, 2020
On 08 Aug, 2020
On 31 Jul, 2020
On 30 Jul, 2020
On 30 Jul, 2020
On 27 Jul, 2020
Received 26 Jul, 2020
On 18 Jul, 2020
Received 18 Jul, 2020
On 16 Jul, 2020
Invitations sent on 15 Jul, 2020
On 14 Jul, 2020
On 13 Jul, 2020
On 13 Jul, 2020
On 29 Jun, 2020
On 20 Jun, 2020
Received 20 Jun, 2020
On 15 Jun, 2020
Received 10 Jun, 2020
On 10 Jun, 2020
On 10 Jun, 2020
Received 10 Jun, 2020
On 09 Jun, 2020
Invitations sent on 08 Jun, 2020
On 05 Jun, 2020
On 04 Jun, 2020
On 22 May, 2020
On 21 May, 2020
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
Figure 2
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