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首页> 外文期刊>BMC Musculoskeletal Disorders >Transverse process strut and titanium mesh cages in the stability reconstruction of thoracic single segment tuberculosis: a retrospective single-center cohort study
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Transverse process strut and titanium mesh cages in the stability reconstruction of thoracic single segment tuberculosis: a retrospective single-center cohort study

机译：横向工艺支柱和钛网笼在胸部单段结核稳定性重建中：回顾性单中心队列研究

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A retrospective and comparative study of transverse process strut (TPS, Group A) compared with titanium mesh cages (TMCs, Group B) in the reconstruction of thoracic stability through the one-stage posterior approach to treat single-segment tuberculosis. Sixty patients from January 2013 to December 2016 were analyzed and divided into two groups. The following data of clinical and radiographical assessments were observed preoperatively, postoperatively and during follow-up (FU). The patients were followed up for an average of 50.20?±?25.10?months (Group A) and 48.70?±?27.30?months(Group B) without significant difference. No significant differences were found in the mean of operation time in minutes, blood loss, hospitalization time, drainage and follow-up duration between the groups. The VAS, ODI, ESR and CRP were reduced significantly at the final FU compared with the preoperation values and there was no significance between the groups. Neurological deficits were improved in all patients at the final FU without significant difference between the groups(P??0.05). The bony fusion times were 5.85?±?1.82?months and 8.4?±?5.1?months with significant difference(P??0.05). Comparing with the preoperative values, the kyphosis angle significantly improved, but at the final FU the significant difference was found between the groups (P??0.05). The loss of the angular correction and the fused segmental height in group A was lower than that in group B (P??0.05). TPS had a better osseous fusion rate, effective maintenance of fused segment stability which is a good bone graft for surgical management of single-segment thoracic spinal tuberculosis.
机译：横向工艺支柱（TPS，A组）与钛网笼（TMC，B组）在重建胸腔稳定性中通过单阶段的后术治疗单段结核，对横向过程支柱（TPS，GROUP A）进行回顾性和对比研究。分析了2013年1月至2016年12月的六十名患者分为两组。术后，术后和在随访期间观察以下临床和射线照相评估数据。患者平均出现50.20？±25.10？月（A组）和48.70？±27.30？月（B组）没有显着差异。在几分钟，血液损失，住院时间，排水和组之间的后续持续时间内没有显着差异。与拍摄性值相比，VAS，ODI，ESR和CRP显着降低，而组之间没有显着性。在最终FU的所有患者中，神经缺陷在没有显着差异之间的患者（P？> 0.05）。骨融合次数为5.85？±1.82？月份和8.4？5.1？5.1个月，有统计学意义（p？<？0.05）。与术前值相比，脊柱氏角度显着改善，但在最终富益差异的差异是在组之间发现（P？<？0.05）。角度校正的损失和A组中的熔融节段高度低于B组（P≤0.05）。 TPS具有更好的骨质融合率，有效维护融合的段稳定性，这是单段胸脊椎肿瘤外科治疗的良好骨移植物。

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