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Title of Journal: International Orthopaedics SICOT

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Abbravation: International Orthopaedics

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Springer Berlin Heidelberg

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DOI

10.1002/jps.3080140103

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1432-5195

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Onestage combined anteriorposterior approach tre

Authors: HongQi Zhang Xiongke Hu Xinhua Yin Yong Chen
Publish Date: 2015/04/26
Volume: 39, Issue: 8, Pages: 1605-1610
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Abstract

From December 2006 to June 2011 fifteen patients seven males eight females suffering from cervicothoracic spinal tuberculosis with kyphosis were admitted The pathologic change regions were as follows two in the C6C7 segment two in the C6T1 segment one in the C6T2 segment three in the C7T1 segment two in the T1T2 segment two in the C7T2 segment one in the T1T3 segment and two in the T2T3 segment All patients were treated with onestage surgical treatment by posterior fixation anterior debridement bone grafting and anterior fixation Then the clinical efficacy was evaluated using statistical analysis based on the materials about the Cobb angle of kyphosis Frankel grade and erythrocyte sedimentation rate ESR which were collected at certain timesAll patients ages ranged from 17 to 67 years average 409 years Operation time ranged from 180 to 290 min average 226 minutes Intraoperative blood loss ranged from 400 to 1000 ml average 650 ml All patients were followed up for 18–46 months postoperatively average 277 months The kyphosis angle was changed significantly between preoperation and postoperation P  005 and there was no obvious loss at the last followup The ESR recovered to normal within three months postoperatively in all patients P  005 Bone fusion was achieved within three to six months average 55 months In the 15 cases no postoperative severe complications occurred and neurologic function was improved in various degrees


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