Midterm surgical results of the lamina with spinous process in treating one-level thoracic or lumbar tuberculosis: a retrospective study
Abstract A retrospective study investigated the results of the lamina with spinous process (LSP) as a bone graft in one-level thoracic or lumbar spinal tuberculosis with the one-stage posterior approach of debridement, fusion and internal instrumentation. Data from 35 patients from January 2013 to D...
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Nature Portfolio
2020-12-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-020-79209-x |
| _version_ | 1818842524748349440 |
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| author | Weiyang Zhong Xinjie Liang Ke Tang Tianji Huang Xiaoji Luo Zhengxue Quan |
| author_facet | Weiyang Zhong Xinjie Liang Ke Tang Tianji Huang Xiaoji Luo Zhengxue Quan |
| author_sort | Weiyang Zhong |
| collection | DOAJ |
| description | Abstract A retrospective study investigated the results of the lamina with spinous process (LSP) as a bone graft in one-level thoracic or lumbar spinal tuberculosis with the one-stage posterior approach of debridement, fusion and internal instrumentation. Data from 35 patients from January 2013 to December 2015 were analysed. Surgery time, blood loss, hospitalization time, drainage volume, and follow-up (FU) duration were recorded. The visual analogue scale (VAS), Oswestry Disability Index (ODI), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), American Spinal Injury Association (ASIA) grade, segmental angle, and bone fusion were compared between preoperative and final FU. All of the patients were followed up for a mean 43.90 ± 10.39 months. The mean age, surgery time, blood loss, hospitalization time, hospital cost and drainage volume were 33.65 ± 11.06 years, 182.40 ± 23.82 min, 280.80 ± 76.82 mL, 14.05 ± 3.58 days, 74,382.00 ± 11,938.00 yuan, and 340.00 ± 167.20 mL, respectively. VAS and ODI were significantly improved at the final FU. The ESR and CRP recovered to normal. The mean angle of 24.35 ± 5.74°preoperatively showed a significant difference between 1 week, postoperatively and final FU. Although there were the loss of angle at final FU comparing with the 1 week postoperatively, it still maintain the good alignment and the segmental stability. All patients achieved bony fusion with a mean time of 12.90 ± 3.91 months. In conclusion, the LSP as a structural bone graft is reliable, safe and effective for segmental stability reconstruction, which could be one choice for surgical management of thoracic or lumbar spinal TB. |
| first_indexed | 2024-12-19T04:43:21Z |
| format | Article |
| id | doaj.art-4309ff109e8d419aa72a50160cc5dbdb |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-19T04:43:21Z |
| publishDate | 2020-12-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-4309ff109e8d419aa72a50160cc5dbdb2022-12-21T20:35:32ZengNature PortfolioScientific Reports2045-23222020-12-011011710.1038/s41598-020-79209-xMidterm surgical results of the lamina with spinous process in treating one-level thoracic or lumbar tuberculosis: a retrospective studyWeiyang Zhong0Xinjie Liang1Ke Tang2Tianji Huang3Xiaoji Luo4Zhengxue Quan5Department of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Pain Management, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical UniversityAbstract A retrospective study investigated the results of the lamina with spinous process (LSP) as a bone graft in one-level thoracic or lumbar spinal tuberculosis with the one-stage posterior approach of debridement, fusion and internal instrumentation. Data from 35 patients from January 2013 to December 2015 were analysed. Surgery time, blood loss, hospitalization time, drainage volume, and follow-up (FU) duration were recorded. The visual analogue scale (VAS), Oswestry Disability Index (ODI), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), American Spinal Injury Association (ASIA) grade, segmental angle, and bone fusion were compared between preoperative and final FU. All of the patients were followed up for a mean 43.90 ± 10.39 months. The mean age, surgery time, blood loss, hospitalization time, hospital cost and drainage volume were 33.65 ± 11.06 years, 182.40 ± 23.82 min, 280.80 ± 76.82 mL, 14.05 ± 3.58 days, 74,382.00 ± 11,938.00 yuan, and 340.00 ± 167.20 mL, respectively. VAS and ODI were significantly improved at the final FU. The ESR and CRP recovered to normal. The mean angle of 24.35 ± 5.74°preoperatively showed a significant difference between 1 week, postoperatively and final FU. Although there were the loss of angle at final FU comparing with the 1 week postoperatively, it still maintain the good alignment and the segmental stability. All patients achieved bony fusion with a mean time of 12.90 ± 3.91 months. In conclusion, the LSP as a structural bone graft is reliable, safe and effective for segmental stability reconstruction, which could be one choice for surgical management of thoracic or lumbar spinal TB.https://doi.org/10.1038/s41598-020-79209-x |
| spellingShingle | Weiyang Zhong Xinjie Liang Ke Tang Tianji Huang Xiaoji Luo Zhengxue Quan Midterm surgical results of the lamina with spinous process in treating one-level thoracic or lumbar tuberculosis: a retrospective study Scientific Reports |
| title | Midterm surgical results of the lamina with spinous process in treating one-level thoracic or lumbar tuberculosis: a retrospective study |
| title_full | Midterm surgical results of the lamina with spinous process in treating one-level thoracic or lumbar tuberculosis: a retrospective study |
| title_fullStr | Midterm surgical results of the lamina with spinous process in treating one-level thoracic or lumbar tuberculosis: a retrospective study |
| title_full_unstemmed | Midterm surgical results of the lamina with spinous process in treating one-level thoracic or lumbar tuberculosis: a retrospective study |
| title_short | Midterm surgical results of the lamina with spinous process in treating one-level thoracic or lumbar tuberculosis: a retrospective study |
| title_sort | midterm surgical results of the lamina with spinous process in treating one level thoracic or lumbar tuberculosis a retrospective study |
| url | https://doi.org/10.1038/s41598-020-79209-x |
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