Source:http://linkedlifedata.com/resource/pubmed/id/17452923
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
2008-2-12
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pubmed:abstractText |
Late-onset paraplegia is best avoided by correcting severe kyphosis in the active, healing, or healed stages of spinal tuberculosis. We report 16 patients with dorsal or dorsolumbar spinal TB--nine with paraplegia, seven without paraplegia--who underwent kyphus correction. Nine patients had active, five partially treated, and two healed disease. The patients ranged in age from 3 to 38 years and had a mean kyphosis of 58.5 degrees (range, 35 degrees-76 degrees). Mean vertebral body involvement on computed tomography was 4.2 (2-9), and mean initial vertebral body loss was 1.76 (1-2.6). The sequential steps for kyphus correction were anterior corpectomy, shortening of the posterior column, posterior instrumentation and anterior gap grafting, and posterior fusion as a single-stage procedure by the extrapleural anterolateral (costotransversectomy) approach. Minimum followup was 3 months (range, 3-36 months). All but one patient with neural deficit showed complete neural recovery. Mean kyphosis correction was 27.3 degrees (range, 9 degrees-42 degrees). Mean correction loss on 1-year followup was 1.4 degrees (range, 0 degrees-4 degrees).
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0009-921X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
460
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
117-23
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pubmed:meshHeading |
pubmed-meshheading:17452923-Adolescent,
pubmed-meshheading:17452923-Adult,
pubmed-meshheading:17452923-Child,
pubmed-meshheading:17452923-Child, Preschool,
pubmed-meshheading:17452923-Decompression, Surgical,
pubmed-meshheading:17452923-Female,
pubmed-meshheading:17452923-Follow-Up Studies,
pubmed-meshheading:17452923-Humans,
pubmed-meshheading:17452923-Kyphosis,
pubmed-meshheading:17452923-Male,
pubmed-meshheading:17452923-Paraplegia,
pubmed-meshheading:17452923-Postoperative Complications,
pubmed-meshheading:17452923-Retrospective Studies,
pubmed-meshheading:17452923-Treatment Outcome,
pubmed-meshheading:17452923-Tuberculosis, Spinal
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pubmed:year |
2007
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pubmed:articleTitle |
Kyphus correction in spinal tuberculosis.
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pubmed:affiliation |
Department of Orthopaedics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India. dranilkjain@gmail.com
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pubmed:publicationType |
Journal Article
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