scholarly journals Selection of the fusion and fixation range in the intervertebral surgery to correct thoracolumbar and lumbar tuberculosis: a retrospective clinical study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Zongqiang Yang ◽  
Changhao Liu ◽  
Ningkui Niu ◽  
Jing Tang ◽  
Jiandang Shi ◽  
...  
Keyword(s):  
Bone Graft ◽  
Spinal Tuberculosis ◽  
Spinal Column ◽  
Operation Time ◽  
Pedicle Fixation ◽  
Post Surgery ◽  
Surgery Group ◽  
Surgical Methods ◽  
Retrospective Clinical Study

Abstract Background To compare the diseased verses the non-diseased intervertebral surgery used in the treatment of thoracolumbar and lumbar spinal tuberculosis and to explore the best choice of fusion of fixation range. Methods Two hundred twenty-one patients with thoracolumbar and lumbar tuberculosis were categorized into two groups. One hundred eighteen patients underwent the diseased intervertebral surgery (lesion vertebral pedicle fixation, Group A) and 103 patients underwent the non-diseased intervertebral surgery (1 or 2 vertebral fixation above and below the affected vertebra, group B). Spinal tuberculosis diagnosis was confirmed in both groups of patients before lesion removal, bone graft fusion, and internal fixation. Clinical data and efficacy of the two surgical methods were then evaluated. Results The mean follow-up duration for both procedures was 65 months (50–68 months range). There were no significant differences in laboratory examinations, VAS scores, and the Cobb angle correction rate and the angle loss. However, significant differences existed in the operation time, blood loss, serosanguineous drainage volume, and blood transfusion requirement between the two groups. The diseased intervertebral surgery group performed significantly better than the non-diseased intervertebral surgery group in all of these areas. In both cases, the bone graft fused completely with the normal bone by the last follow-up, occuring at 50–86 months post surgery. Conclusion The diseased intervertebral surgery is a safe and feasible option for the treatment of thoracolumbar and lumbar tuberculosis. It effectively restores the physiological curvature of the spine and reduces the degeneration of adjacent vertebral bodies in the spinal column.

scholarly journals Selection of the Fusion and Fixation Range in the Intervertebral Surgery to Correct Thoracolumbar and Lumbar Tuberculosis：A Retrospective Clinical Study

2021 ◽  
Author(s):  
Zongqiang Yang ◽  
Changhao Liu ◽  
Ningkui Niu ◽  
Jing Tang ◽  
Jiandang Shi ◽  
...  
Keyword(s):  
Bone Graft ◽  
Spinal Tuberculosis ◽  
Spinal Column ◽  
Operation Time ◽  
Pedicle Fixation ◽  
Post Surgery ◽  
Surgery Group ◽  
Surgical Methods ◽  
Retrospective Clinical Study

Abstract Background To compare the diseased verses the non-diseased intervertebral surgery used in the treatment of thoracolumbar and lumbar spinal tuberculosis and to explore the best choice of fusion of fixation range.Methods 221 patients with thoracolumbar and lumbar tuberculosis were categorized into two groups. 118 patients underwent the diseased intervertebral surgery (lesion vertebral pedicle fixation, Group A) and 103 patients underwent the non-diseased intervertebral surgery (1 or 2 vertebral fixation above and below the affected vertebra, group B). Spinal tuberculosis diagnosis was confirmed in both groups of patients before lesion removal, bone graft fusion, and internal fixation. Clinical data and efficacy of the two surgical methods were then evaluated. Results The mean follow-up duration for both procedures was 65 months (50-68 months range). There were no significant differences in laboratory examinations,VAS scores, and the Cobb angle correction rate and the angle loss. However, significant differences existed in the operation time, blood loss, serosanguineous drainage volume, and blood transfusion requirement between the two groups. The diseased intervertebral surgery group performed significantly better than the non-diseased intervertebral surgery group in all of these areas. In both cases, the bone graft fused completely with the normal bone by the last follow-up, occuring at 50-86 months post surgery.Conclusion The diseased intervertebral surgery is a safe and feasible option for the treatment of thoracolumbar and lumbar tuberculosis. It effectively restores the physiological curvature of the spine and reduces the degeneration of adjacent vertebral bodies in the spinal column.

scholarly journals How to select the fusion and fixation range of thoracolumbar and lumbar tuberculosis: A retrospective clinical study

2020 ◽  
Author(s):  
Yang zong qiang ◽  
Liu chang hao ◽  
Niu ning kui ◽  
Tang jing ◽  
Sayed Abdulla Jami ◽  
...  
Keyword(s):  
Bone Graft ◽  
Clinical Efficacy ◽  
Clinical Data ◽  
Spinal Tuberculosis ◽  
Operation Time ◽  
Adjacent Vertebral Body ◽  
Surgery Group ◽  
Surgical Methods ◽  
Retrospective Clinical Study

Abstract Purpose To investigate the clinical data of thoracolumbar and lumbar spinal tuberculosis with diseased and non-diseased intervertebral surgery, evaluate the clinical efficacy of the two surgical methods, and explore how to choose the fusion of fixation range. Methods Among 221 patients with thoracolumbar and lumbar tuberculosis were categorized into two groups. 118 patients were in the diseased intervertebral surgery group (lesion vertebral pedicle fixation, group A) and there were 103 patients in the non-diseased intervertebral surgery group (1 or 2 vertebral fixation groups at the above and below levels of the affected vertebra, group B). Both groups of patients were treated with primary or staging, anterior combined complete lesion removal, bone graft fusion, and internal fixation. By analyzing of clinical data and the clinical efficacy of the two surgical methods in thoracolumbar and lumbar tuberculosis was evaluated. Results The mean follow-up duration was 65months (range 50–68 months). There were no significant differences in laboratory examination, VAS scores, and the Cobb angle correction rate and the angle loss, however, significant differences between the two groups in operation time, blood loss, drainage volume, and transfusion, the diseased intervertebral surgery group was significantly better than the non-diseased intervertebral surgery group. Meanwhile, the bone graft was fused entirely at the last follow-up. Conclusion Under the conditions of strictly grasping the indications for surgery, intervertebral surgery for thoracolumbar and lumbar tuberculosis is safe, effective, and feasible, and it can effectively restore its physiological curvature and reduce the degeneration of the adjacent vertebral body.

scholarly journals Comparison between bundled multi-segment rib graft and titanium mesh bone graft in the treatment of thoracic and lumbar spinal tuberculosis

2019 ◽  
Author(s):  
Yifan Wang ◽  
Shiyuan Shi ◽  
Qi Zheng ◽  
Mingfeng Zheng ◽  
Yanghui Jin
Keyword(s):  
Bone Graft ◽  
Bone Grafting ◽  
Spinal Tuberculosis ◽  
Operation Time ◽  
Titanium Mesh ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Lumbar Spinal

Abstract Background: To investigate the two different methods including bone grafting with bundled multi-segment ribs and titanium mesh bone grafting through posterior approach in patients with thoracic and lumbar spinal tuberculosis. Methods: 38 patients with thoracic spinal tuberculosis in our hospital were divided into group A (19 cases of titanium mesh bone grafting) and group B (19 cases of bone grafting with bundled multi-segment ribs). The transverse costal process approach was firstly initiated, then the necrotic tissue of tuberculosis lesions was removed thoroughly. Finally, titanium mesh bone grafting and bone grafting with bundled multi-segment ribs was applied, respectively. Results: The data demonstrated that 12 to 24 months of follow-up revealed that the operation time of Titanium mesh bone grafting in group A was 21.2+2.3 min, and that of bundled rib bone grafting in group B was 7.2+2.4 min. Compared to group A, the time in group B was significantly shorter. The amount of bleeding in group A not distinct from that in group B. There was no significant difference in Cobb angle. The fusion time in the two groups was similar. There was no significant difference in Oswestry dysfunction index between the two groups at the last follow-up. Conclusions: Bone grafting with bundled multi-segment ribs could stable the function quickly after thoracic tuberculosis lesion clearance, indicating as an alternative and development prospects of bone graft strategy.

Prone Transpsoas Technique for Simultaneous Single-Position Access to the Anterior and Posterior Lumbar Spine

2020 ◽  
Vol 20 (1) ◽  
pp. E5-E12 ◽  
Author(s):  
Luiz Pimenta ◽  
William R Taylor ◽  
Lauren E Stone ◽  
Arvin Raj Wali ◽  
David R Santiago-Dieppa
Keyword(s):  
Interbody Fusion ◽  
Spinal Column ◽  
Early Experience ◽  
Anterior Column ◽  
Posterior Decompression ◽  
Severe Stenosis ◽  
Representative Case ◽  
Pedicle Fixation ◽  
Anterior Correction

Abstract BACKGROUND Effective decompression, arthrodesis, and correction of spinal conditions frequently utilize operative approaches that expose both the anterior and posterior spinal column. Until now, circumferential spinal column access often requires the surgeon to reposition and drape the patient multiple times or utilize a posterior only approach that has limited anterior correction capability or to utilize a lateral-only approach that complicates otherwise traditional posterior surgical maneuvers. OBJECTIVE To describe a technique utilizing a single surgical position that enables minimally disruptive anterior column correction with simultaneous access to the posterior spinal column. METHODS The operative technique for accessing the lateral lumbar interbody space from a prone transpsoas (PTP) approach is described. The rationale for this approach and a representative case example are reviewed. RESULTS The PTP approach was used to perform an L3-4 and L4-5 interbody fusion in a 71-yr-old female with spondylolisthesis, severe stenosis, and locked facets. The PTP approach enabled efficient completion of an anterior column correction, direct posterior decompression, multi-segment pedicle fixation, and maintenance of alignment, all while in a single prone position. There were no intraoperative or postoperative complications. CONCLUSION The authors’ early experience with the described PTP technique suggests it is not only feasible but offers some advantages, as it allows for single-position surgery maximizing both anterior and posterior column access and corrective techniques. Further follow-up studies of this technique are ongoing.

Augmentation of diaphyseal fractures of the radius and ulna in toy breed dogs using a free autogenous omental graft and bone plating

2015 ◽  
Vol 28 (02) ◽  
pp. 131-139 ◽  
Author(s):  
S. Cooley ◽  
J. J. Warnock ◽  
S. Nemanic ◽  
S. M. Stieger-Vanegas ◽  
W. I. Baltzer
Keyword(s):  
Plate Fixation ◽  
Fracture Site ◽  
Implant Removal ◽  
Bone Plate ◽  
Term Outcome ◽  
Post Surgery ◽  
Retrospective Clinical Study ◽  
Diaphyseal Fractures ◽  
Omental Graft

SummaryObjectives: Evaluation of the short-term outcome, duration of bone healing, and complications following bone plate fixation in dogs weighing [uni2264]6 kg, with and without the use of a free autogenous greater omental graft (OG).Materials and methods: A retrospective clinical study reviewed the medical records of 25 dogs of body weight <6 kg with mid to distal diaphyseal fractures of the radius and ulna (29 fractures) treated with open reduction bone plate fixation. Thirteen out of 29 fractures were implanted with an additional 2–3 cm3 OG lateral, cranial, and medial to the fracture site, adjacent to the bone plate.Results: Median time to radiographic healing in OG fractures (n = 11) was 70 days (range 28–98) compared to 106 days (range: 56–144) in non-OG grafted fractures (n = 14). The OG dogs had no major complications; minor complications included oedema, erythema, and mild osteopenia. Six of the eight non-OG dogs for which follow-up could be obtained developed osteopenia necessitating implant removal, four of which re-fractured the radius one to five months after implant removal, with one dog re-fracturing the limb a second time and resulting in amputation. Telephone follow-up of owners of OG dogs (n = 11) three to 15 months (median 10) post-surgery did not identify any signs of lameness or other complications. Owners of the non-OG dogs (n = 8) reported that there were not any signs of lameness six to 48 months (median 36) post-surgery.Clinical relevance: Free autogenous omen-tal grafting of diaphyseal fractures of the radius and ulna was associated with radial and ulnar healing with minimal complications in dogs weighing less than 6 kg.

scholarly journals The Superiority of the Micrographic Surgery Technique in the Surgical Treatment of Facial Basal Cell Carcinomas

2013 ◽  
Vol 59 (2) ◽  
pp. 64-70
Author(s):  
Olimpiu Hârceagă ◽  
Corina Baican ◽  
Rodica Cosgarea
Keyword(s):  
Basal Cell ◽  
Treatment Time ◽  
Surgical Excision ◽  
Treatment Method ◽  
Micrographic Surgery ◽  
Surgery Group ◽  
Surgical Methods ◽  
Basal Cell Carcinomas ◽  
The Face

Abstract Objective: The aim of this study is to determine the benefits and disadvantages of using micrographic surgery in the treatment of basal cell carcinomas (BCC) of the face. We compared the classic surgery with the micrographic surgery by using a prospective randomized comparative study for two groups of patients. Methods: Patients included in the study were divided into two groups. The first group was treated by Mohs Surgery. A number of 49 patients who presented 52 tumors were included in this group. In the second group were included 52 patients with 53 tumors. These patients were treated by classic surgery. Patients were scheduled for follow-up and evaluation of efficacy of the two surgical methods. Results: The mean follow-up was one year for the micrographic surgery group and 1.1 years for the classic surgery group. For the micrographic surgery group we noted zero recurrences and for the classic surgery group we had two (3.7%) recurrences in two different patients. Treatment time (surgical excision) was 21 minutes for the classic surgery group and 47 minutes for the micrographic surgery group. Conclusions: Micrographic surgery remains the gold standard for the treatment of BCC at the head level. Micrographic surgery is the only treatment method which is reporting healing rates over 95% in the majority of studies. A good selection of the cases is mandatory; micrographic surgery should be used for aggressive tumors in difficult location and especially on the face.

scholarly journals Proximal Gastrectomy with Anti-reflux Anastomosis for Patients with Adenocarcinoma of Esophagogastric Junction: A Simple and Safe Triangle-Valve Technique

2020 ◽  
Author(s):  
Yongshun Gao ◽  
Jiangang Sun ◽  
Yuheng Chen ◽  
Yunfei Zhang ◽  
Peng Chen ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Reflux Disease ◽  
Total Protein ◽  
Esophagogastric Junction ◽  
Proximal Gastrectomy ◽  
Operating Time ◽  
Operation Time ◽  
Post Surgery ◽  
Surgical Methods ◽  
The Mean

Abstract Background A simple and safe triangle-valve technique (TVT) was applied to proximal gastrectomy (PG) in order to prevent post-surgery gastric reflux among patients with adenocarcinoma of the esophagogastric junction (AEG). Its clinical outcomes were evaluated in comparison to those of the canonical total gastrectomy (TG). Method This retrospective study of 74 AEG patients compared two surgical procedures PG-TVT (n = 44) and TG (n = 30) in terms of their surgical outcomes, postoperative complications, and nutritional status. All patients were followed-up for 6 months. Reflux Disease Questionnaire (RDQ) was used to evaluate reflux esophagitis. patients with the RDQ score of ≥12 points were diagnosed with gastroesophageal reflux disease (GERD). Results The mean operation time was significantly shorter in PG-TVT group (242.6 minutes) than in TG group (288.1 minutes). The overall postoperative complication rate was not significantly different between PG-TVT and TG groups. All patients were followed up by 6 months. None of them developed cancer recurrence in distant organs, remnant stomach, or lymph nodes. The GERD incidence was similar between PG-TVT and TG groups. The mean levels of total protein and albumin within the 6 months were significantly higher in PG-TVT group than in TG group after adjusting the time effect and the interaction of time and surgical methods. The level of total protein significantly increased within 6 months in PG-TVT but decreased in TG group. Conclusion PG-TVT provides several advantages including a shorter operating time, better postoperative nutritional status, and similar incidence of GERD over TG for AEG patients.

Feline Distal Tibial Physeal Fracture Repair Using a Modified Cross-Pin Technique with Four Pins

2020 ◽  
Vol 33 (03) ◽  
pp. 220-226
Author(s):  
Diogo Miraldo ◽  
Bettina Salmelin ◽  
Russell Yeadon
Keyword(s):  
Kirschner Wire ◽  
Subjective Assessment ◽  
Fracture Repair ◽  
Excellent Outcome ◽  
Post Surgery ◽  
Retrospective Clinical Study ◽  
The Mean ◽  
Type Of Fracture ◽  
Physeal Fractures

Abstract Objective The aim of this article was to report the surgical technique and clinical outcome of a modified cross-pin technique for the treatment of distal tibial physeal fractures in cats without postoperative external coaptation. Study Design This study was a retrospective clinical study. Animals A total of 9 cats were presented with fracture of the distal tibial physis. Materials and Methods Medical records from July 2014 to September 2018 were reviewed. In all cases, a second medial and a craniolateral Kirschner wires were added to the traditional cross-pin technique. Information reviewed included orthogonal radiographs pre- and post-surgery and at subsequent re-examinations, subjective assessment of lameness and passive range of motion, veterinary clinical assessment and completion of a functional questionnaire (feline musculoskeletal pain index) at the time of writing this report. Eight owners completed the questionnaire. The mean questionnaire follow-up time was 12.7 months. Results Uncomplicated fracture healing occurred in all patients. Two patients required implant removal due to Kirschner wire migration and protrusion through the skin at 5 and 12 months post-surgery. No other complications were noticed. Eight patients had an excellent outcome, and one patient had a good outcome. Conclusion Distal tibial physeal fractures in cats can be treated successfully with the use of a modified cross-pin technique and without the use of external coaptation. Prognosis should be considered favourable for this type of fracture.

scholarly journals Radial bone graft usage for nasal septal reconstruction

2011 ◽  
Vol 44 (01) ◽  
pp. 036-040
Author(s):  
Yakup Cil ◽  
Atacan Emre Kocman ◽  
Abdul Kerim Yapıci ◽  
Serdar Ozturk
Keyword(s):  
Bone Graft ◽  
Operation Time ◽  
Saddle Nose ◽  
Corrective Surgery ◽  
Secondary Surgery ◽  
Crooked Nose ◽  
Septal Surgery ◽  
The Mean ◽  
Radial Bone

ABSTRACT Background: Although various techniques have been described for correction of crooked and saddle nose deformities, these problems are challenging with high recurrence and revision rates. Conventional septal surgery may not be adequate for nose reconstruction in crooked and saddle nose deformities. Materials and Methods: Between December 2005 and October 2009, six patients with crooked nose and five patients with saddle nose deformities underwent corrective surgery in our clinic. All patients were male, and the mean age was 21 years (range, 19-23 years). We used rigid radial bone graft to prevent redeviation and recurrence following corrective nasal septal surgery. Results: The mean follow-up period was 28 months, ranging from 18 to 46 months. Mean operation time was 4 hours (3-4.5). All patients healed uneventfully. None of the patients required secondary surgery. Conclusions: We believe that radial bone grafts offer a long lasting support in treatment of challenging cases with crooked and saddle nose deformities.

scholarly journals Comparison of single posterior debridement, bone grafting, and instrumentation with single anterior debridement, bone grafting, and instrumentation in treatment of thoracic spinal tuberculosis

2019 ◽  
Author(s):  
Yongchun Zhou ◽  
Weiwei Li ◽  
Liqun Gong ◽  
Jiao Zhou ◽  
Jing Luo
Keyword(s):  
Bone Grafting ◽  
Spinal Tuberculosis ◽  
Operation Time ◽  
Anterior Debridement ◽  
Thoracic Spinal ◽  
Group A ◽  
Group B ◽  
Posterior Debridement ◽  
Thoracic Spinal Tuberculosis

Abstract Objective To explore the clinical effect of single posterior debridement, bone grafting, and instrumentation and single anterior debridement, bone grafting and instrumentation in the treatment of thoracic spinal tuberculosis of adult patients. Methods: A retrospective analysis was made by involving 38 adult patients with thoracic spinal tuberculosis from between June 2013 and December 2015. Of the 38 patients, 21 patients were categorized in single anterior approach group and underwent single posterior debridement, bone grafting, and instrumentation (Group A). The remaining 17 patients were classified in single posterior approaches group (Group B), which received single posterior debridement, bone grafting and instrumentation. Clinical manifestations, laboratory and imaging results of the two groups were analyzed subsequently. Results: All patients were followed up for 23.9 ± 3.8 m (range, 19–36 m). Bony fusion was achieved in all bone grafts. The operation time and intraoperative blood loss in group B were significantly less than those in group A (P<0.05). The VAS scores, ESR, and CRP levels 6 weeks after operation and at the final follow-up were significantly lower than the preoperative levels (P<0.05). At the last follow-up, ASIA improvement no significant difference between groups (P>0.05). Furthermore, the postoperative and final-follow-up kyphosis angles in group B were both significantly smaller than those in group A (P<0.05). Group A had a postoperative angle correction rate smaller than group B, and its postoperative angle loss was greater than group B’s (P<0.05). Conclusion: Single posterior debridement, bone grafting, and instrumentation can achieve similar curative effect as single anterior debridement, bone grafting and instrumentation in the treatment of thoracic spinal tuberculosis, but also accompanied by additional advantages of shorter operation time and less bleeding .

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