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Xu Z, Chen L, Wang C, et al. Clinical effectiveness of posterior-only approach using polyetheretherketone cage combined with single-segment instrumentation for lumbar tuberculosis in children. Sci Rep. 2021;11(1):23512doi: 10.1038/s41598-021-03029-w.
Xu, Z., Chen, L., Wang, C., Zhang, L., & Xu, W. (2021). Clinical effectiveness of posterior-only approach using polyetheretherketone cage combined with single-segment instrumentation for lumbar tuberculosis in children. Scientific reports, 11(1), 23512. https://doi.org/10.1038/s41598-021-03029-w
Xu, Zhengquan, et al. "Clinical effectiveness of posterior-only approach using polyetheretherketone cage combined with single-segment instrumentation for lumbar tuberculosis in children." Scientific reports vol. 11,1 (2021): 23512. doi: https://doi.org/10.1038/s41598-021-03029-w
Xu Z, Chen L, Wang C, Zhang L, Xu W. Clinical effectiveness of posterior-only approach using polyetheretherketone cage combined with single-segment instrumentation for lumbar tuberculosis in children. Sci Rep. 2021 Dec 06;11(1):23512. doi: 10.1038/s41598-021-03029-w. PMID: 34873251; PMCID: PMC8648756.
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Sci Rep. 2021 Dec 06;11(1):23512. doi: 10.1038/s41598-021-03029-w.

Clinical effectiveness of posterior-only approach using polyetheretherketone cage combined with single-segment instrumentation for lumbar tuberculosis in children.

Scientific reports

Zhengquan Xu, Lanhua Chen, Changsheng Wang, Liqun Zhang, Weihong Xu

Affiliations

  1. Department of Spine Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, Fujian, People's Republic of China.
  2. Trauma Medical Center of Fujian Province, Fuzhou, 350005, Fujian, People's Republic of China.
  3. Department of Emergency, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, Fujian, People's Republic of China.
  4. Department of Spine Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, Fujian, People's Republic of China. [email protected].
  5. Trauma Medical Center of Fujian Province, Fuzhou, 350005, Fujian, People's Republic of China. [email protected].

PMID: 34873251 PMCID: PMC8648756 DOI: 10.1038/s41598-021-03029-w

Abstract

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.

© 2021. The Author(s).

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