Department of Spine Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, Fujian, People's Republic of China.
Trauma Medical Center of Fujian Province, Fuzhou, 350005, Fujian, People's Republic of China.
Sci Rep. 2021 Dec 6;11(1):23512. doi: 10.1038/s41598-021-03029-w.
We sought to investigate the outcomes of posterior-only approach using polyetheretherketone (PEEK) cage combined with single-segment instrumentation (modified-approach) for mono-segment lumbar tuberculosis in children. Between February 2008 and August 2017 in our hospital, 18 children with single-segment lumbar tuberculosis enrolled in this study were treated by modified-approach. Medical records and radiographs were retrospectively analyzed. Mean follow-up time was 54.6 ± 12.1 months. No severe complications were noted to have occurred. Measures indicated there was satisfactory bone fusion for all patients. Mean Cobb angles were significantly decreased from preoperative angle (19.8° ± 13.1°) to those both postoperatively (- 4.9° ± 7.6°) and at final follow-up (- 3.5° ± 7.3°) (both P < 0.05), with a mean angle loss of 1.7° ± 0.9°. The erythrocyte sedimentation rate (ESR) returned to normal levels for all patients within 3 months postoperatively. All patients had significant postoperative improvement in neurological performance. The modified-approach was an effective and feasible treatment option for mono-segment children with lumbar tuberculosis. Such procedures can likely help patients by increasing retainment of lumbar mobility and reducing invasiveness.
我们旨在探讨在后路仅使用聚醚醚酮（PEEK） cage 结合单节段器械（改良入路）治疗儿童单节段腰椎结核的结果。在 2008 年 2 月至 2017 年 8 月期间，我院收治的 18 例单节段腰椎结核患儿采用改良入路治疗。回顾性分析病历和影像学资料。平均随访时间为 54.6±12.1 个月。未发生严重并发症。所有患者均获得满意的植骨融合。Cobb 角均值从术前（19.8°±13.1°）、术后即刻（-4.9°±7.6°）和末次随访（-3.5°±7.3°）均显著降低（均 P<0.05），平均丢失 1.7°±0.9°。所有患者术后 3 个月红细胞沉降率（ESR）均恢复正常。所有患者的神经功能均有显著改善。改良入路是治疗儿童单节段腰椎结核的有效可行的方法。这种手术可以通过增加腰椎活动度的保留和减少侵袭性来帮助患者。
