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spinal tuberculosis

Yin Liu, Zheng Wang, Guang Yao, Yuying Lu, Zhongyang Hu, Huan Yao, Qinghua Zhang, Haixia Zhu, Zhi Song, Wei Wang, Ding Liu
OBJECTIVE: The aim of this study was to investigate the occurrence of paradoxical reaction (PR) in HIV-negative tuberculous meningitis (TBM) patients with spinal involvement, as well as its possible risk factors. METHODS: Fifty TBM patients with spinal involvement were retrospectively studied and divided into a PR group and a Non-PR group according to the presence of PR. Their demographic, clinical, radiology and laboratory data, and status at follow-up were collected and compared...
December 4, 2018: International Journal of Infectious Diseases: IJID
Kai Wang, Na Wang, Yuliang Wang, Yayi Xia, Feixue Song, Jingsheng Liu
BACKGROUND: To compare clinical and functional outcomes of anterior versus posterior debridement and spinal fixation for surgical treatment of thoracolumbar tuberculosis. METHODS: A computer-based online search of the Cochrane Library, PubMed, EMBase, Wanfang, VIP, and the CNKI database was performed. The methodological quality of included studies was evaluated, and data analyses were performed using RevMan 5.0 software (The Nordic Cochrane Centre, The Cochrane Collaboration Copenhagen, Denmark)...
December 6, 2018: Der Orthopäde
Huipeng Yin, Kun Wang, Yong Gao, Yukun Zhang, Wei Liu, Yu Song, Shuai Li, Shuhua Yang, Zengwu Shao, Cao Yang
BACKGROUND: Junction tuberculous spondylitis involves the stress transition zone of the spine and has a high risk of progression to kyphosis or paraplegia. Problems still exist with treatment for spinal junction tuberculosis. This study investigated the surgical approach and clinical outcomes of junction spinal tuberculosis. METHODS: From June 1998 to July 2014, 77 patients with tuberculous spondylitis were enrolled. All patients received 2-3 weeks of anti-tuberculous treatment preoperatively; treatment was prolonged for 2-3 months when active pulmonary tuberculosis was present...
December 6, 2018: Journal of Orthopaedic Surgery and Research
Yoshi Pratama Djaja, Phedy Phedy, Jamot Silitonga, Didik Librianto, Ifran Saleh
INTRODUCTION: Both gluteal abscess and sacral tuberculosis are rare entities in spinal tuberculosis cases. Even in endemic country, this atypical presentation may be the cause of delayed diagnosis and treatment. PRESENTATION OF CASE: A 51-year-old woman was admitted with painless massive lump on both of her thighs that have been enlarging for the past 6 months. She had a history of previous tuberculosis treatment. From the MRI examination submuscular gluteal abscess, which was an extension of the sacral tuberculosis, were found...
November 24, 2018: International Journal of Surgery Case Reports
Khaled Omran, Ahmed S Abdel-Fattah
BACKGROUND DATA: Complexity in ventral surgical exposure, presence of scapula and large para-scapular musculature during posterior surgery are the main obstacles in operative treatment of Upper Thoracic Spine Compressive Lesions (UTSCL) like trauma, tuberculosis and neoplasm. Recently, the advantages of combined ventro-dorsal surgery could be successfully gained using 1-stage posterior salvage technique with enough accessibility to all three spinal columns. PURPOSE: Retrospective evaluation of 35 patients with UTSCL treated by Posterior Extensive Circumferential Decompressive Reconstructive (PECDR) procedure...
December 3, 2018: World Neurosurgery
S P Mohanty, M Pai Kanhangad, B Yogesh Kumar, A Singh
PURPOSE: The present study evaluated the clinical and radiological outcomes in patients with tuberculosis of the thoracic and thoracolumbar spine, treated by an operative technique in which anterior debridement with posterior instrumentation and global fusion was performed through a single-stage posterior approach. METHODS: Ninty-seven patients with spinal tuberculosis, between T1 and L1, in whom anterior debridement, bone grafting, with posterior instrumentation and fusion was performed through a single-stage posterior approach, with a minimum follow-up of 2 years, formed the basis of this study...
December 4, 2018: Musculoskeletal Surgery
Xiao-Zhang Ying, Shi-Yuan Shi, Qi Zheng, Bo Zhu, Yang-Hui Jin, Ming-Feng Zheng
OBJECTIVE: To explore the clinical effect of cortical bone trajectory screw technology combined with anterior mini-open debridement and prop graft for lumbar tuberculosis in elderly. METHODS: The clinical data of 22 patients with lumbar tuberculosis treated by cortical bone trajectory screw technology combined with anterior mini-open debridement and prop graft from February 2015 to December 2016 were retrospectively analyzed. There were 13 males and 9 females with an average age of (73...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Nan-Jian Xu, Yun-Lin Chen, Wei-Yu Jiang, Wei-Hu Ma
OBJECTIVE: To explore the short-term efficacy of posterior percutaneous screw fixation combined with local percutaneous endoscopic debridement in treating senile spinal tuberculosis. METHODS: The clinical data of 19 senile patients with spinal tuberculosis underwent surgical treatment from January 2015 to September 2016 were retrospectively analyzed. There were 13 males and 6 females, aged from 60 to 73 years old with an average of (66.2±4.0) years. All patients have been diagnosed with spinal tuberculosis prior to hospitalization with abscess, dead bone formation but no sinus, neurological symptoms, open surgical indications...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Zhen Lai, Shi-Yuan Shi, Jun Fei, Gui-He Han, Sheng-Ping Hu
OBJECTIVE: To investigate the effect of preoperative percutaneous drainage in lumbar tuberculosis with psoas abscess, through compare the clinical efficacy of two different methods. METHODS: Thirty-six patients with lumbar tuberculosis complicated with psoas abscess in corresponding with the inclusion criteria were admitted in Zhejiang Province Traditional Chinese Medicine Hospital from January 2015 to January 2017. The patients were divided into group A and group B according to the different therapeutic methods...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Qiang Liang, Qian Wang, Guolong, Wenxin Ma, Weidong Jin, Liehua Liu, Yuexiang Wu, Jiandang Shi, Zili Wang
OBJECTIVE: This retrospective comparative analysis was conducted to assess the effectiveness of affected-vertebrae fixation versus short-segment fixation to treat thoracic spinal tuberculosis. METHODS: This study included 110 patients receiving treatment for thoracic spinal tuberculosis at this hospital between January 2006 and June 2013. All cases involved the use of posterior spinal correction, posterior lateral fusion, internal fixation, anterior decompression, radical debridement, and intervertebral supporting bone grafts...
November 29, 2018: World Neurosurgery
Kateřina Kalová, Kateřina Boberová, Renáta Přichystalová, Jan Nováček, Ivana Jarošová, Tomáš Zikmund, Jozef Kaiser, Klaudia Kyselicová, Lukáš Šebest, Marián Baldovič, Adam Frtús, Martin Sikora, Morten E Allentoft
The skeletal remains of the young female (20-24 years) from Grave JP/106, discovered in the Southern Suburb of the Břeclav - Pohansko Stronghold (Early Middle Ages, 9th century-beginning of the 10th century, present day Czech Republic) display several noteworthy pathologies. The first is deformation of the mandible, which was most probably caused by a fracture of the ramus in combination with a subcondylar fracture. The spine of this young woman also exhibits a probable traumatic injury of the cervical spine in combination with a slowly growing structure situated inside the spinal canal, which caused deformation centered upon C7...
November 26, 2018: International Journal of Paleopathology
Yun-Peng Huang, Jian-Hua Lin, Xiao-Ping Chen, Gui Wu, Xuan-Wei Chen
BACKGROUND: Posterior transfacet approach has been proved to be a safe and effective access to treat thoracic disc herniation. However, the therapeutic effect and safety of modified transfacet approach for treating thoracic spinal tuberculosis (TST) has not been reported in the clinical literature. In this study, the clinical efficacy and safety of a single-stage posterior modified transfacet debridement, posterior instrumentation, and interbody fusion for treating TST were retrospectively evaluated...
November 20, 2018: Journal of Orthopaedic Surgery and Research
Zhen Lai, Shiyuan Shi, Jun Fei, Guihe Han, Shengping Hu
BACKGROUND: Spinal tuberculosis is a frequent cause of psoas abscess (PA), and PA largely negates the efficacy of antituberculosis therapy. This study aimed to investigate the clinical outcome of preoperative percutaneous catheter drainage (PCD) in patients with lumbar spinal tuberculosis and PA. METHODS: Between January 2015 and January 2017, 72 patients with lumbar spinal tuberculosis with PA were assigned to group A (preoperative PCD) and group B (n = 36 per group)...
November 19, 2018: Journal of Orthopaedic Surgery and Research
Atul Mishra, Ankit Mathur, Kamal Pathak, C D S Katoch, Anurag Khera
Background: Hemoptysis is one of the most alarming condition to both the patients suffering from it and the treating physicians. It is caused due to varied etiologies. One of the emergent and at times life-saving treatment option is by minimally invasive interventional radiological technique of Bronchial Atery Embolization (BAE). The authors aimed to carry out a retrospective analysis of short term efficacy and safety of all patients treated by this technique at a tertiary care thoracic centre...
October 2018: Medical Journal, Armed Forces India
Kunal Shah, Manish Kothari, Abhay Nene
Study Design: Retrospective study. Objectives: Treatment of spinal tuberculosis in the elderly involves consideration of compromised physiology, which often poses a clinical challenge to the surgeons to balance surgical safety versus deteriorating function. Frailty scoring has been reported as an effective tool to predict mortality and morbidity in cardiovascular surgery and recently in hip fractures. Its use in spinal surgery is scarcely reported. Methods: We included elderly patients operated for spinal tuberculosis...
October 2018: Global Spine Journal
Hamed Chaabouni, Jihène Féki, Emna Elleuch, Slim Charfi, Afef Khanfir, Nabil Toumi, Tahia Boudawara, Mounir Ben Jmea, Jamel Daoud, Mounir Frikha
INTRODUCTION: Tuberculosis (TBC) is a major public health problem with high mortality especially in developing countries. It is associated with a higher risk of developing pulmonary and non-pulmonary malignancies including solid and hematologic cancers. Association between TBC and nonpulmonary malignancies is rarely described in the literature. AIM: To describe the epidemiological, clinical, therapeutic modalities and the evolutive aspects of patients treated for cancer and TBC...
June 2018: La Tunisie Médicale
Ravinder Kumar Banga, Jagdeep Singh, Anshul Dahuja, Radhe Shyam Garg
Study Design: Prospective randomised control trial. Purpose: To compare the effectiveness of Directly Observed Treatment and Short Course (DOTS) and Daily Anti Tubercular Therapy (ATT) in spinal tuberculosis with no neurological deficit. Overview of Literature: Spinal tuberculosis is rampant in India with a major cause of morbidity and mortality. There is a lot of conflict regarding management with anti tubercular drugs, the regimen to be followed and the duration the drugs needed for complete cure...
2018: Open Orthopaedics Journal
Hongqi Zhang, Qiang Guo, Yunjia Wang, Chaofeng Guo, Mingxing Tang
PURPOSE: The study aimed to evaluate the efficiency of the posterior-only approach using shaped titanium mesh cage for surgical treatment of spinal tuberculosis (TB) in children. METHODS: Between January 2011 and July 2013, 22 children with a single motion spinal segment involved, including 10 with thoracic, 4 with thoracolumbar, and 8 with lumbar, were enrolled in the study. The patients were treated by the posterior-only approach using the shaped titanium mesh cages...
May 2018: Journal of Orthopaedic Surgery
Jeannette Lay Kuan Goh, Chia Yin Chong, Samuel Zhi Rui Lim, Kevin Boon Leong Lim, Natalie Woon Hui Tan
In this article, we report a case of tuberculosis spondylodiscitis in a 2-year-old child. Imaging of her spine showed a paraspinal abscess. The diagnosis of spinal tuberculosis remains difficult, and we discuss its salient features and current management within the pediatric population.
2018: Global Pediatric Health
Shailendra Ratre, Sushma Choudhary, Yadram Yadav, Vijay Parihar, Jitin Bajaj, Anurag Pateriya
Tuberculosis of the central nervous system (CNS) is well known. CNS involvement can occur in the form of tubercular meningitis (TBM), tuberculous vasculitis, tuberculoma and rarely brain abscess. Tubercular granulomas generally solitary and occur in the brain but they may be multiple and involve other areas such as spinal cord, epidural space and subdural space also. Tuberculoma in the spinal cord is rare. Co-occurrence of intracerebral and intramedullary spinal tuberculoma is extremely rare in children with only few cases reported till date...
April 2018: Journal of the Association of Physicians of India
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