NDLI: One-stage surgical management for children with spinal tuberculosis by anterior decompression and posterior instrumentation.

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One-stage surgical management for children with spinal tuberculosis by anterior decompression and posterior instrumentation.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Huang, Qi-Shan Zheng, Changkun Hu, Yuezheng Yin, Xiaoling Xu, Huazi Zhang, Guoyou Wang, Qi
Description	Author Affiliation: Huang QS ( Department of Spine Surgery, The Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, People's Republic of China.)
Abstract	The goal of this study was to assess the efficacy of one-stage surgical management for children with spinal tuberculosis by anterior decompression, bone grafting, posterior instrumentation, and fusion. Between January 2002 and December 2006, 15 cases with spinal tuberculosis were treated with one-stage posterior internal fixation and anterior debridement. All cases were followed-up for an average of 30.3 months (range 12-48 months). The average neurological recovery in the patients was 0.93 grades on the scale of Frankel et al. (Paraplegia 7:179-192, 1969). The average preoperative kyphosis was 36 degrees (range 19-59 degrees ), and the average postoperative kyphosis was 23 degrees (range 15-38 degrees ) at final follow-up. At final follow-up, minimal progression of kyphosis was seen, with an average kyphosis of 27 degrees (range 16-40 degrees ). An average loss of correction of 4 degrees was seen at final follow-up. One-stage surgical management for children with spinal tuberculosis by anterior decompression, bone grafting, posterior instrumentation, and fusion was feasible and effective.
File Format	HTM / HTML
ISSN	03412695
e-ISSN	14325195
DOI	10.1007/s00264-009-0758-5
Journal	International Orthopaedics
Issue Number	5
Volume Number	33
Language	English
Publisher	Springer
Publisher Date	2009-10-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Internal Fixators Spinal Fusion Tuberculosis, Spinal Surgery Adolescent Antitubercular Agents Therapeutic Use Bone Screws Bone Transplantation Child, Preschool Debridement Drug Therapy, Combination Kyphosis Etiology Postoperative Complications Radiography Adverse Effects Instrumentation Drug Therapy
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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One-stage surgical management for children with spinal tuberculosis by anterior decompression and posterior instrumentation.

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