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.
Highlights
Cage combined with single-segment instrumentation for mono-segment lumbar tuberculosis in children
PEEK cage combined with single-segment instrumentation used on child patients with mono-segment lumbar tuberculosis was not reported
The purpose of our study was to evaluate the feasibility and efficacy of debridement, and reconstruction using PEEK cage combined with single-segment instrumentation via a posterior-only approach for the treatment of mono-segment children afflicted with lumbar TB
Summary
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. Mean follow-up time was 54.6 ± 12.1 months. The erythrocyte sedimentation rate (ESR) returned to normal levels for all patients within 3 months postoperatively. 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. As pediatric spinal TB make up a relatively high proportion of spinal TB and have unique characteristics involved with dynamics of growth and development of children, this health concern has rightfully demanded increasing priority in TB related health and research programs through nationally[4]. Pediatric lumbar TB is one such type of an affliction, which needs to be treated cautiously because of anatomical characteristics and vertebral growth of child-aged p
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
