ISSN: 1859 - 2872
Evaluating the results of anterior decompression, autograft fusion and fixation by titanium plate in treatment for the lower cervical spine tuberculosis
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Abstract
Summary
Objective: To evaluate the outcome of the anterior debridement, decompression and autograft fusion by titanium plate in treatment for the lower cervical tuberculosis. Subject and method: A retrospective study. From December 2013 to February 2019, 12 lower cervical tuberculosis (8 male; 4 female; average age 39.5 ± 17.3 years) who underwent surgical treatment at Neurosurgery Department of 108 Military Central Hospital. All patients underwent anterior debridement, decompression, using iliac crest fusion and fixation by titanium plate. Neurologic function of all the patients was evaluated by VAS, JOA score and ASIA grade. Patients were followed up for 13.4 ± 4.5 months on average. Result: Postoperatively neurologic function of all the patients using the VAS, JOA score and ASIA grade was improved significantly after surgery. The cervical sagittal alignment was improved by C2-7 Cobb’s angle change
(-4.8° ± 1.9° postoperative end- examination vs 14.3° ± 7.8° preoperative; p<0.05). All patients had solid fusion and no major complications were observed in the follow-up period. Conclusion: The anterior debridement, decompression, using iliac crest fusion and fixation by titanium plate was demonstrated to be a safe and effective method to treat lower cervical tuberculosis.
Keywords: Lower cervical spine, cervical spine tuberculosis, anterior approache, cervical plating.
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References
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