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Published in: Clinical Orthopaedics and Related Research® 8/2017

01-08-2017 | CORR Insights

CORR Insights®: Débridement and Reconstruction Improve Postoperative Sagittal Alignment in Kyphotic Cervical Spinal Tuberculosis

Author: Zeeshan Mohammad Sardar, MD, CM, FRCSC, MSc, B. Eng

Published in: Clinical Orthopaedics and Related Research® | Issue 8/2017

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Excerpt

Although tuberculosis of the spine is an uncommon condition in most developed countries, the disease remains common in many underdeveloped regions. Patients with this condition, particularly in the early stages, generally are treated with antituberculosis drugs, spinal orthotics for improved stability, and improved nutrition [1, 4, 6]. However, some patients develop neurological deficits, epidural or paravertebral abscesses, spinal instability, or considerable deformity of the spine. Generally, these patients are treated with surgical débridement and stabilization [1, 6]. …
Literature
1.
go back to reference Alam MS, Phan K, Karim R, Jonayed SA, Munir HK, Chakraborty S, Alam T. Surgery for spinal tuberculosis: A multi-center experience of 582 cases. J Spine Surg. 2015;1:65–71.PubMedPubMedCentral Alam MS, Phan K, Karim R, Jonayed SA, Munir HK, Chakraborty S, Alam T. Surgery for spinal tuberculosis: A multi-center experience of 582 cases. J Spine Surg. 2015;1:65–71.PubMedPubMedCentral
2.
go back to reference Ames CP, Blondel B, Scheer JK, Schwab FJ, Le Huec JC, Massicotte EM, Patel AA, Traynelis VC, Kim HJ, Shaffrey CI, Smith JS, Lafage V. Cervical radiographical alignment: comprehensive assessment techniques and potential importance in cervical myelopathy. Spine (Phila Pa 1976). 2013;38:S149–160. Ames CP, Blondel B, Scheer JK, Schwab FJ, Le Huec JC, Massicotte EM, Patel AA, Traynelis VC, Kim HJ, Shaffrey CI, Smith JS, Lafage V. Cervical radiographical alignment: comprehensive assessment techniques and potential importance in cervical myelopathy. Spine (Phila Pa 1976). 2013;38:S149–160.
3.
go back to reference Hardacker JW, Shuford RF, Capicotto PN, Pryor PW. Radiographic standing cervical segmental alignment in adult volunteers without neck symptoms. Spine (Phila Pa 1976). 1997;22:1472–1480. Hardacker JW, Shuford RF, Capicotto PN, Pryor PW. Radiographic standing cervical segmental alignment in adult volunteers without neck symptoms. Spine (Phila Pa 1976). 1997;22:1472–1480.
4.
go back to reference Hou K, Yang H, Zhang L, Zhang X, Xiao S, Lu N. Stepwise therapy for treating tuberculosis of the upper cervical spine: A retrospective study of 11 patients. Eur Neurol. 2015;74:100–106.CrossRefPubMed Hou K, Yang H, Zhang L, Zhang X, Xiao S, Lu N. Stepwise therapy for treating tuberculosis of the upper cervical spine: A retrospective study of 11 patients. Eur Neurol. 2015;74:100–106.CrossRefPubMed
5.
go back to reference Lee JS, Youn MS, Shin JK, Goh TS, Kang SS. Relationship between cervical sagittal alignment and quality of life in ankylosing spondylitis. Eur Spine J. 2015;24:1199–1203.CrossRefPubMed Lee JS, Youn MS, Shin JK, Goh TS, Kang SS. Relationship between cervical sagittal alignment and quality of life in ankylosing spondylitis. Eur Spine J. 2015;24:1199–1203.CrossRefPubMed
6.
go back to reference Ling T, Liu L, Yang X, Qiang Z, Hu X, An Y. Revision surgery for spinal tuberculosis with secondary deformity after treatment with debridement, instrumentation, and fusion. Eur Spine J. 2015;24:577–585.CrossRefPubMed Ling T, Liu L, Yang X, Qiang Z, Hu X, An Y. Revision surgery for spinal tuberculosis with secondary deformity after treatment with debridement, instrumentation, and fusion. Eur Spine J. 2015;24:577–585.CrossRefPubMed
7.
go back to reference Liu Y, Chen Y, Yang L, Zhou X, Wang C, Qi M, Yuan W. The surgical treatment and related management for post-tubercular kyphotic deformity of the cervical spine or the cervico-thoracic spine. Int Orthop. 2012;36:367–372.CrossRefPubMedPubMedCentral Liu Y, Chen Y, Yang L, Zhou X, Wang C, Qi M, Yuan W. The surgical treatment and related management for post-tubercular kyphotic deformity of the cervical spine or the cervico-thoracic spine. Int Orthop. 2012;36:367–372.CrossRefPubMedPubMedCentral
8.
go back to reference Mao N, Shi Z, Ni H, Zhao Y, Tang H, Liu D, Zhu X, Bai Y, Li M. Long-term outcomes of one-stage anterior debridement, bone grafting, and internal fixation for the treatment of lower cervical tuberculosis with kyphosis. Br J Neurosurg. 2013;27:160–166.CrossRefPubMed Mao N, Shi Z, Ni H, Zhao Y, Tang H, Liu D, Zhu X, Bai Y, Li M. Long-term outcomes of one-stage anterior debridement, bone grafting, and internal fixation for the treatment of lower cervical tuberculosis with kyphosis. Br J Neurosurg. 2013;27:160–166.CrossRefPubMed
9.
go back to reference Scheer JK, Tang JA, Smith JS, Acosta FL, Jr., Protopsaltis TS, Blondel B, Bess S, Shaffrey CI, Deviren V, Lafage V, Schwab F, Ames CP, International Spine Study G. Cervical spine alignment, sagittal deformity, and clinical implications: A review. J Neurosurg Spine. 2013;19:141–159. Scheer JK, Tang JA, Smith JS, Acosta FL, Jr., Protopsaltis TS, Blondel B, Bess S, Shaffrey CI, Deviren V, Lafage V, Schwab F, Ames CP, International Spine Study G. Cervical spine alignment, sagittal deformity, and clinical implications: A review. J Neurosurg Spine. 2013;19:141–159.
10.
go back to reference Zeng H, Shen X, Luo C, Xu Z, Zhang Y, Liu Z, Wang X, Cao Y. 360-degree cervical spinal arthrodesis for treatment of pediatric cervical spinal tuberculosis with kyphosis. BMC Musculoskelet Disord. 2016;17:175.CrossRefPubMedPubMedCentral Zeng H, Shen X, Luo C, Xu Z, Zhang Y, Liu Z, Wang X, Cao Y. 360-degree cervical spinal arthrodesis for treatment of pediatric cervical spinal tuberculosis with kyphosis. BMC Musculoskelet Disord. 2016;17:175.CrossRefPubMedPubMedCentral
Metadata
Title
CORR Insights®: Débridement and Reconstruction Improve Postoperative Sagittal Alignment in Kyphotic Cervical Spinal Tuberculosis
Author
Zeeshan Mohammad Sardar, MD, CM, FRCSC, MSc, B. Eng
Publication date
01-08-2017
Publisher
Springer US
Published in
Clinical Orthopaedics and Related Research® / Issue 8/2017
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-017-5387-5

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