The role of debridement and reconstruction of sagittal balance in tuberculous spondylitis

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dc.authorscopusid14622670700
dc.authorscopusid6506370457
dc.authorscopusid26022488100
dc.authorscopusid37095337000
dc.authorscopusid8450175300
dc.authorscopusid23468840000
dc.contributor.authorGökçe, Alper
dc.contributor.authorÖztürkmen, Yusuf
dc.contributor.authorMutlu, Savas
dc.contributor.authorGökay, Nevzat Selim
dc.contributor.authorTonbul, Murat
dc.contributor.authorCaniklioğlu, Mustafa
dc.date.accessioned2022-05-11T14:36:08Z
dc.date.available2022-05-11T14:36:08Z
dc.date.issued2012
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dal
dc.description.abstractBackground: An accepted comprehensive clinical approach to the deformed spine with tuberculous infection is still lacking. We aimed to determine the usage of a staged algorithm in the treatment of kyphotic spine with tuberculous infection and to present the clinical results of the patients treated with the help of this protocol. Materials and Methods: 54 patients (28 females, 26 males) with a mean age of 39.2 (22-76) years. Preoperative, early postoperative, and followup clinical and radiologic results were evaluated retrospectively. The patients were classified into Kaplan A (kyphotic deformity < 30 degrees), Kaplan B (kyphotic deformity 30 degrees-60 degrees) and Kaplan C (kyphotic deformity > 60 degrees). They were operated by posterior instrument with anterior debridment (Kaplan A), debridment with anterior bone grafting (Kaplan B) and anterior column resection and bone grafting in Kaplan C. Results: Tuberculous involvement were seen at more than one level in 40 patients and paraspinal abscess were detected in 31. Preoperative focal kyphotic deformity was reconstructed with an average of 19 (9-38) degrees. Twenty-six patients had neurologic compromise with different severities and 12 of them improved after the surgical intervention. Improvement in work ability and pain status was detected in 52 and 61 of the patients, respectively. Wound complications responding to medical care were detected in nine patients. Initial kyphotic deformity was found as an important parameter in selecting the surgical procedure. Conclusion: Regarding resected amount of infected osseous material, as planned preoperatively, have resulted with better concordance between anterior and posterior column heights and better sagittal alignment. We could correct kyphosis and improve sagittal balance with staged algorithm as used by us.
dc.identifier.doi10.4103/0019-5413.93674
dc.identifier.endpage149
dc.identifier.issn0019-5413
dc.identifier.issn1998-3727
dc.identifier.issue2en_US
dc.identifier.pmid22448051
dc.identifier.scopus2-s2.0-84859096345
dc.identifier.scopusqualityQ3
dc.identifier.startpage145
dc.identifier.urihttps://doi.org/10.4103/0019-5413.93674
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8381
dc.identifier.volume46
dc.identifier.wosWOS:000301861700004
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGökçe, Alper
dc.institutionauthorGökay, Nevzat Selim
dc.institutionauthorTonbul, Murat
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofIndian Journal of Orthopaedics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDebridement
dc.subjectkyphosis in tuberculous spondylitis
dc.subjecttuberculous spondylitis
dc.subjectSpinal Tuberculosis
dc.subjectPosterior Instrumentation
dc.subjectDeformity
dc.subjectKyphosis
dc.subjectSurgery
dc.subjectDeficit
dc.subjectLumbar
dc.subjectAngle
dc.titleThe role of debridement and reconstruction of sagittal balance in tuberculous spondylitis
dc.typeArticle

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