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One-stage posterior focus debridement, fusion, and instrumentation in the surgical treatment of cervicothoracic spinal tuberculosis with kyphosis in children: a preliminary report

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Abstract

Purpose

To determine the efficacy and feasibility of surgical management of cervicothoracic tuberculosis accompanied by kyphosis in children by using one-stage posterior focus debridement, bone graft fusion, and instrumentation at a single institution.

Methods

Ten consecutive cases with cervicothoracic tuberculosis with kyphosis were treated with one-stage posterior focus debridement, bone graft fusion, and instrumentation. The mean follow-up was 36 months (range26–47 months). The kyphotic angle ranged from 35° to 62° before operation, 50.5° in average. The American Spinal Injury Association score system was used to evaluate the neurological deficits.

Results

Spinal tuberculosis was completely cured in all ten patients. There was no recurrent tuberculous infection. The postoperative kyphotic angle was 10° to 22°, 17.5° in average, and there was no significant loss of the correction at the latest follow-up. Solid fusion was achieved in all cases. Neurological condition in all patients was improved after surgery.

Conclusions

One-stage posterior debridement, bone grafting, and instrumentation can be an effective treatment method of cervicothoracic spinal tuberculosis with kyphosis in children.

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Authors and Affiliations

  1. Department of Spine Surgery, Xiangya Spinal Surgery Center, Xiangya Hospital of Central South University, Xiang Ya Road 87, Changsha, China

    Hong-Qi Zhang, Yu-Xiang Wang, Chao-feng Guo, Di Zhao, Ang Deng, Jian-Huang Wu & Jin-Yang Liu

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  1. Hong-Qi Zhang
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  2. Yu-Xiang Wang
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  3. Chao-feng Guo
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  4. Di Zhao
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  6. Jian-Huang Wu
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  7. Jin-Yang Liu
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Correspondence to Hong-Qi Zhang.

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Zhang, HQ., Wang, YX., Guo, Cf. et al. One-stage posterior focus debridement, fusion, and instrumentation in the surgical treatment of cervicothoracic spinal tuberculosis with kyphosis in children: a preliminary report. Childs Nerv Syst 27, 735–742 (2011). https://doi.org/10.1007/s00381-010-1319-3

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  • DOI: https://doi.org/10.1007/s00381-010-1319-3

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