COMPARISON OF ANTERIOR PLATE VS. ROD SYSTEMS IN TREATMENT OF TUBERCULOSIS SPONDYLITIS
Journal Title: Journal of Turkish Spinal Surgery - Year 2005, Vol 16, Issue 4
Abstract
Anterior debridement, strut grafting and instrumentation have an increasing popularity in the treatment of tuberculosis of spine. Anterior fixation can be done either by a plate or a rod system. In this study, 73 patients with active tuberculosis operated for either one of the deformity, instability or neurological compromise having more than two years of follow-up was included. Surgical treatment included anterior radical debridement followed by grafting with tricortical auto graft and anterior instrumentation at levels just above and below the diseased segments with either plate (Z plate, Group A: 26 patients) or rod (CDH, Group B: 46 patients) systems. The average age of the patients was 46.8±13.4 years and average followup was 65.8±17.9 months. All patients had similar anti tuberculosis chemotherapy. The two groups were similar (p<0.05 for all parameters). Deformities were corrected to 4.9°±5.5° degrees in group A and 5.0°±6.4° degrees in group B with no significant difference. At the time of the Iatest follow-up there were 1.4°±1.9° degrees correction loss in-group A and 1.3°±1.8° degrees in-group B with no significant difference in between two groups (p<0.05). There was no apparent pseudoarthrosis and implant failures in both groups and all patients demonstrated clinical improvement in tuberculosis infection without recurrences and reactivation. Anterior instrumentation after debridement and reconstruction of vertebral body was effective in the treatment of tuberculosis spondylitis. There were no significant differences between the two instrumentation systems in terms of sagittal alignment reconstruction and fusion rate.
Authors and Affiliations
Teoman BENL, Ahmet ALANAY, Emre ACAROÚLU, Mahmut KIS, Serdar AKALIN
Keywords
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