» Articles » PMID: 12715238

Cortical Allografts in Spinal Tuberculosis

Overview
Journal Int Orthop
Specialty Orthopedics
Date 2003 Apr 26
PMID 12715238
Citations 6
Authors
Affiliations
Soon will be listed here.
Abstract

One-hundred-twenty-three patients with neurological deficit due to spinal tuberculosis underwent anterior spinal decompression and anterior column reconstruction with fresh-frozen femoral allograft. Fifty-two patients with a follow-up of more than 5 years were evaluated to assess the incorporation and the efficacy of allograft in maintaining correction. The allograft was incorporated in 49 patients at a mean follow-up of 6.5 (5.3-8.2) years. Complete neurological recovery occurred in 39 patients. The mean pre-operative kyphosis of 37 degrees (15 degrees -67 degrees ) was corrected to 18 degrees (5 degrees -45 degrees ). Fresh-frozen allografts are a suitable alternative to autologous rib and iliac crest grafts in the treatment of spinal tuberculosis.

Citing Articles

A comparison of three bone graft struts for interbody fusion using a posterior approach for lower lumbar spinal tuberculosis in adults: a midterm follow-up study.

Xu Z, Wang X, Zhang Z, Jiang D, Jia R, Zhang Y BMC Musculoskelet Disord. 2022; 23(1):590.

PMID: 35717155 PMC: 9206337. DOI: 10.1186/s12891-022-05539-8.


Surgical Management of Paediatric Thoracolumbar Tuberculosis by a Combination of Anterior and Posterior Versus Posterior Only Approach: A Systematic Review and Meta-Analysis.

Upadhyaya G, Sami A, Patralekh M, Agarwal A, Iyengar K, Aryal A Global Spine J. 2022; 13(1):188-196.

PMID: 35426770 PMC: 9837511. DOI: 10.1177/21925682221090478.


Bone substitutes and expanders in Spine Surgery: A review of their fusion efficacies.

Kadam A, Millhouse P, Kepler C, Radcliff K, Fehlings M, Janssen M Int J Spine Surg. 2016; 10:33.

PMID: 27909654 PMC: 5130324. DOI: 10.14444/3033.


One-stage posterior focus debridement, interbody graft using titanium mesh cages, posterior instrumentation and fusion in the surgical treatment of lumbo-sacral spinal tuberculosis in the aged.

Wang Y, Zhang H, Liao W, Tang M, Guo C, Deng A Int Orthop. 2016; 40(6):1117-24.

PMID: 26983410 DOI: 10.1007/s00264-016-3161-z.


Tuberculosis of spine: current views in diagnosis and management.

Moon M Asian Spine J. 2014; 8(1):97-111.

PMID: 24596613 PMC: 3939378. DOI: 10.4184/asj.2014.8.1.97.


References
1.
Rajasekaran S, Shanmugasundaram T, Prabhakar R, Dheenadhayalan J, Shetty A, Shetty D . Tuberculous lesions of the lumbosacral region. A 15-year follow-up of patients treated by ambulant chemotherapy. Spine (Phila Pa 1976). 1998; 23(10):1163-7. DOI: 10.1097/00007632-199805150-00018. View

2.
Raviglione M, Snider Jr D, Kochi A . Global epidemiology of tuberculosis. Morbidity and mortality of a worldwide epidemic. JAMA. 1995; 273(3):220-6. View

3.
Hodgson A, STOCK F, Fang H, Ong G . Anterior spinal fusion. The operative approach and pathological findings in 412 patients with Pott's disease of the spine. Br J Surg. 1960; 48:172-8. DOI: 10.1002/bjs.18004820819. View

4.
Squillante R . Tuberculosis of the spine. Orthop Clin North Am. 1996; 27(1):95-103. View

5.
Molinari R, Bridwell K, Klepps S, Baldus C . Minimum 5-year follow-up of anterior column structural allografts in the thoracic and lumbar spine. Spine (Phila Pa 1976). 1999; 24(10):967-72. DOI: 10.1097/00007632-199905150-00007. View