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使用聚醚醚酮可扩张椎间融合器和钛板成功治疗颈椎结核并严重后凸畸形：一例报告

Successful management of cervical tuberculosis and severe kyphosis using polyetheretherketone expandable cage and titanium plate: A case report.

作者信息

Iqbal Javeed, Khan Muhammad Mohsin, Thabet Abdulnasser, Mohammed Kazim, Scalia Gianluca, Chaurasia Bipin

机构信息

Department of Neurosurgery Hamad General Hospital - Surgical Specialty Center Doha Qatar.

Neurosurgery Unit, Department of Head and Neck Surgery Garibaldi Hospital Catania Italy.

出版信息

Clin Case Rep. 2024 Apr 16;12(4):e8793. doi: 10.1002/ccr3.8793. eCollection 2024 Apr.

DOI:10.1002/ccr3.8793
PMID:38634094
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11021619/
Abstract

KEY CLINICAL MESSAGE

Successful management of cervical tuberculosis and severe kyphosis was achieved using a PEEK expandable cage and titanium plate, demonstrating favorable outcomes in restoring cervical alignment and stability. This approach represents a promising alternative for addressing complex cervical pathologies, highlighting the potential of PEEK-based interventions in surgical management.

ABSTRACT

Cervical tuberculosis can lead to severe vertebral destruction and kyphosis, posing challenges in surgical management. Recent advancements, including the use of polyetheretherketone (PEEK) expandable cages and titanium plates, show promise in addressing multilevel cervical pathologies. This report details the successful treatment of a 27-year-old male with cervical tuberculosis and severe kyphosis. Surgical intervention involved prevertebral abscess evacuation, C5-C7 corpectomy, and insertion of a PEEK expandable cage with an anterior titanium plate. Postoperative care included a Philadelphia collar, and follow-up demonstrated restored cervical alignment and stability. The use of PEEK-based surgical interventions, as demonstrated in this case, represents a significant evolution in managing complex cervical conditions. The successful outcome highlights the potential benefits of PEEK expandable cages in addressing cervical tuberculosis and kyphosis. Further research is needed to validate these findings and establish PEEK-based interventions as a viable alternative in such cases.

摘要

关键临床信息

使用聚醚醚酮（PEEK）可扩张椎间融合器和钛板成功治疗颈椎结核和严重脊柱后凸，在恢复颈椎排列和稳定性方面显示出良好效果。这种方法是治疗复杂颈椎疾病的一种有前景的替代方案，突出了基于PEEK的干预措施在手术治疗中的潜力。

摘要

颈椎结核可导致严重的椎体破坏和脊柱后凸，给手术治疗带来挑战。包括使用聚醚醚酮（PEEK）可扩张椎间融合器和钛板在内的最新进展，在解决多节段颈椎疾病方面显示出前景。本报告详细介绍了一名27岁颈椎结核合并严重脊柱后凸男性患者的成功治疗过程。手术干预包括前路脓肿清除、C5 - C7椎体次全切除以及植入带有前路钛板的PEEK可扩张椎间融合器。术后护理包括佩戴费城颈托，随访显示颈椎排列和稳定性得以恢复。如本病例所示，基于PEEK的手术干预在治疗复杂颈椎疾病方面是一项重大进展。成功的结果突出了PEEK可扩张椎间融合器在治疗颈椎结核和脊柱后凸方面的潜在益处。需要进一步研究来验证这些发现，并确立基于PEEK的干预措施在此类病例中的可行性替代地位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8186/11021619/a56e5cbf758c/CCR3-12-e8793-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8186/11021619/adadef41a121/CCR3-12-e8793-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8186/11021619/7d3e375631e4/CCR3-12-e8793-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8186/11021619/33242d572166/CCR3-12-e8793-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8186/11021619/a56e5cbf758c/CCR3-12-e8793-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8186/11021619/adadef41a121/CCR3-12-e8793-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8186/11021619/7d3e375631e4/CCR3-12-e8793-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8186/11021619/33242d572166/CCR3-12-e8793-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8186/11021619/a56e5cbf758c/CCR3-12-e8793-g001.jpg

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