scholarly journals Surgical Treatment of Thoracic and Lumbar Tuberculosis by Anterior Interbody Fusion and Posterior Instrumentation

2003 ◽  
Vol 12 (2) ◽  
pp. 92-96 ◽  
Author(s):  
Ahmed M. Mukhtar ◽  
Medhat M. Farghaly ◽  
Shaban H. Ahmed
Keyword(s):  
Surgical Treatment ◽  
Interbody Fusion ◽  
Posterior Instrumentation ◽  
Anterior Interbody Fusion

Single stage posterior instrumentation and anterior interbody fusion for tuberculosis of dorsal and lumbar spines

2013 ◽  
Vol 2 (1) ◽  
pp. 21-26
Author(s):  
BK Pandey ◽  
GM Sangondimath ◽  
HS Chhabra
Keyword(s):  
Lumbar Spine ◽  
Interbody Fusion ◽  
Posterior Instrumentation ◽  
Surgical Techniques ◽  
Operation Time ◽  
Single Stage ◽  
Anterior Fusion ◽  
Related Complication ◽  
Anterior Interbody Fusion

Background: Spine is the most common site for osseous involvement of tuberculosis, accounting around 50% cases of musculoskeletal tuberculosis. The most frequent sites of the involvement are the thoracic and lumbar spine. The anterior column is primarily affected resulting in progressive or residual kyphotic deformity even after the eradication of the disease by chemotherapy. Various surgical techniques like anterior fusion, posterior or combined fusion have been described. In this study we evaluated the clinical outcome and radiological results of single stage posterior instrumentation and anterior interbody fusion for tuberculosis of dorsal and lumbar spine. Methods: Details of the patients of tuberculosis of dorsal and lumbar spine operated with single stage posterior instrumentation and anterior interbody fusion from December 2004 to June 2008 were retrieved from the hospital database. There were 55 cases operated with this technique. Thirty patients, whose final details were available, were involved in this study. Pre-operative, post-operative and final follow up clinical and radiological assessments were performed. The follow up ranged from 18 to 60 months. Results: Average operation time was 5 hours 45 minutes and blood loss was 1100 ml. Anterior body fusion was achieved in all the patients. 93.3% of the patients had neurological improvement. Satisfactory post-operative kyphotic angle correction was achieved. There was minimal final loss of kyphotic correction. One patient had post-operative wound infection. Post operative paralytic ileus, chest infection, urinary tract infection, jaundice were the complications found in the patients. No graft related complication was seen. There was no recurrence of the disease in any of the cases. Conclusion: Single stage anterior debridement and interbody fusion with posterior instrumentation can be performed safely to achieve satisfactory clinical and radiographic outcomes in patients of thoracic and lumbar tuberculosis. DOI: http://dx.doi.org/10.3126/noaj.v2i1.8136 Nepal Orthopaedic Association Journal Vol.2(1) 2011: 21-26

Surgical treatment of double-level isthmic spondylolisthesis

2014 ◽  
Vol 20 (4) ◽  
pp. 396-399 ◽  
Author(s):  
Deyong Song ◽  
Zhong Chen ◽  
Dewei Song
Keyword(s):  
Surgical Treatment ◽  
Interbody Fusion ◽  
Unusual Case ◽  
Posterior Instrumentation ◽  
Posterior Lumbar Interbody Fusion ◽  
Autogenous Bone ◽  
Lumbar Interbody Fusion ◽  
Isthmic Spondylolisthesis ◽  
Short Term

Isthmic spondylolisthesis, which is demonstrated in 4%–6% of the general population, is one of the most common types of spondylolisthesis. However, double-level isthmic spondylolisthesis is extremely rare. Only a few reports have examined the outcomes of surgical treatment of double-level spondylolisthesis. The authors present an unusual case of double-level isthmic spondylolisthesis of the lumbar spine. The patient had low-back pain for 20 years and did not respond to conservative treatment. Radiographs revealed bilateral pars defects at L-4 and L-5. Grade 2 isthmic spondylolisthesis was present, both at L4–5 and at L5–S1. The patient underwent decompression, reduction, and posterior lumbar interbody fusion with autogenous bone chips from posterior decompression. At follow-up after 12 months, the patient was free of pain, slippage was corrected, and fusion was achieved. Posterior lumbar interbody fusion with posterior instrumentation and reduction may yield good functional short-term results for double-level spondylolisthesis.

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