Cortical allografts in spinal tuberculosis

被引:33
作者
Govender, S [1 ]
Kumar, KPS [1 ]
机构
[1] Univ Natal, Nelson R Mandela Sch Med, Dept Orthopaed Surg, ZA-4013 Congella, Durban, South Africa
关键词
D O I
10.1007/s00264-003-0446-9
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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 37degrees (15degrees-67degrees) was corrected to 18degrees (5degrees-45degrees). Fresh-frozen allografts are a suitable alternative to autologous rib and iliac crest grafts in the treatment of spinal tuberculosis.
引用
收藏
页码:244 / 248
页数:5
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