Posterior-only stabilization versus global reconstruction in thoracic and thoracolumbar spinal tuberculosis; a prospective randomized study
Este relatório foi verificado
por um ou mais autores da publicação
publicação original.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2022;10(10):40 Int Orthop . 2022 Mar;46(3):597-603.O que é que isto significa para a minha prática?
Posterior-only or global reconstruction, represent effective management of spinal tuberculosis disease affecting thoracic and thoracolumbar vertebrae. The results of this trial suggest that clinical, functional, and radiological outcomes were comparable. The results of the current trial are limited by a single-centre design and sample size.
Resumo do estudo
Fifty-eight patients with thoracic or thoracic-lumbar spinal tuberculosis with borderline anterior vertebral defects were randomized to undergo either posterior stabilization (n=29) or global reconstruction (n=29). All patients received anti-TB chemotherapy. The primary outcomes were clinical (including neurological), radiological, and functional outcomes. There were no differences in clinical (including neurological), functional [Visual Analog Scale (VAS) & Oswestry Disability Index (ODI) scores], and radiological outcomes (Cobb's angle, kyphosis correction, loss of correction, angle loss rate, & fusion time) between the two groups. No differences in complications were noted.
Porque é que este estudo era necessário agora?
Although the guidelines for surgical indications in spinal tuberculosis (TB) are well-established, ambiguity still exists in deciding between posterior-only stabilization and global reconstruction in patients with thoracic and thoracolumbar disease with borderline vertebral destruction. Therefore, a trial to compare the safety and efficacy of these two surgical interventions was needed.
Qual era a principal questão de investigação?
In a population of thoracic and thoracic-lumbar (TL) spinal tuberculosis (TB) patients with a borderline anterior vertebral defect, are clinical, radiological, and functional outcomes similar or different among posterior-only stabilization versus global reconstruction?
AVISO LEGAL
O conteúdo desta página destina-se apenas a fins informativos e não pretende substituir o aconselhamento, diagnóstico ou tratamento médico profissional. Se necessitar de tratamento médico, procure sempre o conselho do seu médico ou dirija-se ao serviço de urgência mais próximo. As opiniões, crenças e pontos de vista expressos pelos indivíduos no conteúdo encontrado nesta página não reflectem as opiniões, crenças e pontos de vista da OrthoEvidence.
0 de 4 artigos mensais GRATUITOS desbloqueados
