Clinical effects of anterior transplantation with allograft and titanium mesh in treatment of cervical tuberculosis
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Clinical effects of anterior transplantation with allograft and titanium mesh in treatment of cervical tuberculosis
nullIssue 6, Pages: 446(2019)
作者机构:
解放军陆军特色医学中心脊柱外科,重庆,400042
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基金信息:
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Published:2019,
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WANG Yingbo, YIN Xiang, LIU Peng, et al. Clinical effects of anterior transplantation with allograft and titanium mesh in treatment of cervical tuberculosis. [J]. null (6):446(2019)
DOI:
WANG Yingbo, YIN Xiang, LIU Peng, et al. Clinical effects of anterior transplantation with allograft and titanium mesh in treatment of cervical tuberculosis. [J]. null (6):446(2019)DOI:
Clinical effects of anterior transplantation with allograft and titanium mesh in treatment of cervical tuberculosis
Objective To evaluate the safety,feasibility and the clinical effects of anterior transplantation with allograft and titanium mesh in the treatment of cervical tuberculosis.Methods From June 2010 to June 2017
the clinical data of 23 cases of cervical tuberculosis who were treated with allograft or titanium mesh combined with internal fixation after radical debridement in our department were analyzed retrospectively.All patients were divided into allograft group(n=11) and titanium mesh group(n=12).The operation time,amount of bleeding
hospital stays
ESR,graft fusion satisfaction rate and graft collapse rate between two groups were compared. Results The difference of the operation time,intraoperative blood loss and average length of hospital stay between two groups were not statistically significant(P>0.05).The mean ESR level was (19.2±5.8) mm/h in allograft group
and (31.7±6.1)mm/h in titanium mesh group at 3 months after the operation,the difference was statistically significant(P<0.05).There were 5 cases with graft collapse in titanium mesh group
1 case with graft collapse in allograft group.During the period of followup
all of patients showed bone graft fusion except 1 case of invalid for multidrugresistant mycobacterium tuberculosis caused by antituberculosis treatment.Conclusion The clinical effects of anterior transplantation with allograft and titanium mesh in the treatment of cervical tuberculosis is safety and feasibility without obvious graft rejection and high rate of bone graft fusion.Meanwhille
allograft maybe the ideal substitute of autologous iliac bone for the clinical treatment of cervical tuberculosis with low rate of graft collapse.
关键词
颈椎结核同种异体骨椎体融合内固定术前路颈椎结核病灶清除钛网
Keywords
cervical tuberculosisallograftinterbody fusionanterior debridement of cervical tuberculosistitanium mesh