EFFICACY OF SURGICAL TREATMENT FOR GENERALIZED SPINAL TUBERCULOSIS USING ANTERIOR FUSION WITH TITANIUM MESH
https://doi.org/10.14531/ss2013.3.62-67
Abstract
Objective. To analyze the efficacy of surgical treatment for spinal tuberculosis using titanium mesh.
Material and Methods. A total of 70 patients with generalized tuberculous spondylitis were operated on using anterior interbody fusion with bone autograft or titanium mesh, with or without posterior instrumentation. Dynamics of the fusion area linear characteristics was investigated.
Results. The use of biologically inert titanium mesh filled with bone tissue provides stability and supportability of the spine, is not accompanied by graft resorption, does not prevent formation of a solid bone block, and does not provoke the infection aggravation. Posterior instrumented fixation ensures the deformity correction and its stable preservation in long-term follow-up period.
About the Authors
Dmitry Vladimirovich Kuklin
Federal State Institution Saint-Petersburg Research Institute of Phthisiopulmonology, St. Petersburg
Russian Federation
Russian Federation
Ivan Aleksandrovich Baulin
Federal State Institution Saint-Petersburg Research Institute of Phthisiopulmonology, St. Petersburg
Russian Federation
Russian Federation
Mikhail Viktorovich Belyakov
Federal State Institution Saint-Petersburg Research Institute of Phthisiopulmonology, St. Petersburg
Russian Federation
Russian Federation
Leonid Aleksandrovich Dorofeyev
Federal State Institution Saint-Petersburg Research Institute of Phthisiopulmonology, St. Petersburg
Russian Federation
Russian Federation
Aleksandr Yuryevich Mushkin
Federal State Institution Saint-Petersburg Research Institute of Phthisiopulmonology, St. Petersburg
Russian Federation
Russian Federation
References
1. Ардашев И.П., Ардашева Е.И. Вертебральная инфекция // Хирургия позвоночника. 2009. № 2. С. 68–78.
2. Беляков М.В., Гусева В.Н., Куклин Д.В. и др. Оценка репаративных процессов при использовании углерод-углеродных имплантатов в хирургии воспалительных заболеваний позвоночника // Современные технологии хирургического лечения деформаций и заболеваний позвоночника: М-лы третьего съезда хирургов-вертебрологов России. СПб., 2012. С. 26–27.
3. Мушкин А.Ю., Куклин Д.В., Дорофеев Л.А. и др. Реконструкция позвоночника при распространенных полисегментарных разрушениях // Хирургия позвоночника. 2010. № 3. С. 60–65.
4. Олейник В.В., Гусева В.Н., Белендир Э.Н. и др. Способы восстановления опороспособности позвоночника при туберкулезном спондилите // Хирургия позвоночника – полный спектр: М-лы науч. конф., посвященной 40-летию отделения патологии позвоночника. М., 2007. С. 137–139.
5. Ульрих Э.В., Мушкин А.Ю. Вертебрология в терминах, цифрах, рисунках. СПб., 2002.
6. Garg B, Kandwal P, Upendra BN, et al. Anterior versus posterior procedure for surgical treatment of thoracolumbar tuberculosis: A retrospective analysis. Indian J Orthop. 2012; 46: 165–170.
7. Grob D, Daehn S, Mannion AF. Titanium mesh cages (TMC) in spine surgery. Eur Spine J. 2005; 14: 211–221.
8. Koptan W, ElMiligui Y, ElSharkawi M. Single stage anterior reconstruction using titanium mesh cages in neglected kyphotic tuberculous spondylodiscitis of the cervical spine. Eur Spine J. 2011; 20: 308–313.
9. Wang B, Lv G, Liu W, et al. Anterior radical debridement and reconstruction using titanium mesh cage for the surgical treatment of thoracic and thoracolumbar spinal tuberculosis: minimum five-year follow-up. Turk Neurosurg. 2011; 21: 575–581.
10. White AA, Panjabi MM, eds. The Clinical Biomechanics of the Spine. Philadelphia, 1978.
Review
For citations:
Kuklin D.V., Baulin I.A., Belyakov M.V., Dorofeyev L.A., Mushkin A.Yu. EFFICACY OF SURGICAL TREATMENT FOR GENERALIZED SPINAL TUBERCULOSIS USING ANTERIOR FUSION WITH TITANIUM MESH. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2013;(3):062-067. (In Russ.) https://doi.org/10.14531/ss2013.3.62-67
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