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Intervertebral focal surgery for the treatment of non-contiguous multifocal spinal tuberculosis

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Abstract

Purpose

The purpose of this study was to assess the clinical efficacy of intervertebral focal surgery by complete debridement, deformity correction, graft fusion, and internal fixation for patients with non-contiguous multifocal spinal tuberculosis.

Methods

A total of 29 cases with non-contiguous multifocal spinal tuberculosis admitted to the hospital from January 2000 to January 2007 were treated by intervertebral focal surgery. There were 63 foci in 29 cases, averaging 2.2 foci per case, and 146 affected vertebral bodies, averaging 2.3 vertebral bodies per focus. Three cases had one normal intervertebral disc between two foci, and the other 26 cases had two or more normal intervertebral discs between two foci.

Results

All cases were followed-up for an average of five years. The kyphosis showed a mean correction rate of 67.7% after surgery. A mean loss rate of correction of 8.2% was observed at the final follow-up. The levels of erythrocyte sedimentation rate and C-reactive protein returned to normal in 27 cases on average at 5.8 months and bone union could be observed at five months after surgery. Eleven cases with nerve damage recovered to E grade at the final follow-up.

Conclusions

Intervertebral focal surgery by complete debridement, deformity correction, graft fusion, and internal fixation for patients with non-contiguous multifocal spinal tuberculosis was feasible and effective.

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Authors and Affiliations

  1. Department of Spinal Surgery, General Hospital of Ningxia Medical University, 804 Shengli Street, Xingqing District, Yinchuan, 750004, Ningxia, People’s Republic of China

    Jian-Dang Shi, Zi-Li Wang, Guang-Qi Geng & Ning-Kui Niu

Authors
  1. Jian-Dang Shi
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  2. Zi-Li Wang
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  3. Guang-Qi Geng
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  4. Ning-Kui Niu
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Corresponding author

Correspondence to Jian-Dang Shi.

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Financial disclosure

Drs Shi, Wang, Geng, and Niu have no relevant financial relationships to disclose. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.

Both Jian-Dang Shi and Zi-Li Wang contributed equally to this paper.

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Shi, JD., Wang, ZL., Geng, GQ. et al. Intervertebral focal surgery for the treatment of non-contiguous multifocal spinal tuberculosis. International Orthopaedics (SICOT) 36, 1423–1427 (2012). https://doi.org/10.1007/s00264-011-1478-1

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  • DOI: https://doi.org/10.1007/s00264-011-1478-1

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