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
相关论文
共 32 条
[21]  
*MED RES COUNC WOR, 1976, J BONE JOINT SURG BR, V58, P399
[22]  
*MED RES COUNC WOR, 1978, J BONE JOINT SURG BR, V60, P163
[23]   Minimum 5-year follow-up of anterior column structural allografts in the thoracic and lumbar spine [J].
Molinari, RW ;
Bridwell, KH ;
Klepps, SJ ;
Baldus, C .
SPINE, 1999, 24 (10) :967-972
[24]   Spine update tuberculosis of the spine - Controversies and a new challenge [J].
Moon, MS .
SPINE, 1997, 22 (15) :1791-1797
[25]   EVALUATION OF THE RISK OF INSTRUMENTATION AS A FOREIGN-BODY IN SPINAL TUBERCULOSIS - CLINICAL AND BIOLOGIC STUDY [J].
OGA, M ;
ARIZONO, T ;
TAKASITA, M ;
SUGIOKA, Y .
SPINE, 1993, 18 (13) :1890-1894
[26]   PROGRESSION OF KYPHOSIS IN TUBERCULOSIS OF THE SPINE TREATED BY ANTERIOR ARTHRODESIS [J].
RAJASEKARAN, S ;
SOUNDARAPANDIAN, S .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1989, 71A (09) :1314-1323
[27]   Tuberculous lesions of the lumbosacral region - A 15-year follow-up of patients treated by ambulant chemotherapy [J].
Rajasekaran, S ;
Shanmugasundaram, TK ;
Prabhakar, R ;
Dheenadhayalan, J ;
Shetty, AP ;
Shetty, DK .
SPINE, 1998, 23 (10) :1163-1167
[28]   GLOBAL EPIDEMIOLOGY OF TUBERCULOSIS - MORBIDITY AND MORTALITY OF A WORLDWIDE EPIDEMIC [J].
RAVIGLIONE, MC ;
SNIDER, DE ;
KOCHI, A .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 273 (03) :220-226
[29]  
Stevenson S, 1996, CLIN ORTHOP RELAT R, P66
[30]  
Stevenson S, 1996, CLIN ORTHOP RELAT R, P86