The role of anterior spinal instrumentation and allograft fibula for the treatment of Pott disease

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dc.contributor.authorOzdemir, HM
dc.contributor.authorUs, AK
dc.contributor.authorOgun, T
dc.date.accessioned2020-03-26T16:46:15Z
dc.date.available2020-03-26T16:46:15Z
dc.date.issued2003
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractStudy Design. The authors retrospectively reviewed 28 patients with multilevel Pott disease who underwent anterior radical debridement, decompression, and fusion with anterior spinal instrumentation and fibular allograft replacement. Objectives. To assess the efficacy of allograft fibular fusion and anterior spinal stabilization as an alternative treatment of spinal tuberculosis. Summary of Background Data. The results of anterior surgery in preventing late or early spinal deformity from Pott disease have been closely related to the status of the segmental stability and graft materials, especially in cases of multisegmental involvement. The use of allograft and anterior spinal instrumentation in tuberculous spondylitis remains controversial because of the risk of persistence and recurrence of infection in the presence of devitalized bone graft, which may also be prone to poor incorporation. Methods. Between 1993 and 1998, a total of 28 patients with Pott disease (two or more segments involved) underwent anterior debridement, allograft fusion, and stabilization. The patients were given antituberculosis treatment in the postoperative period according to a standardized protocol. The authors retrospectively analyzed their experience in tuberculous spondylitis, with particular attention to method, allograft incorporation, and anterior spinal instrumentation. Incorporation of the allograft was evaluated by either static or dynamic (flexion/extension) radiographs. Results. None of the patients used external support in the postoperative period. A minimum of 3 years' follow-up was achieved in 26 patients. The overall fusion rate was 96%. There were no graft problems. Two patients died in the early postoperative period as a result of multiorgan failure. One patient suffered from an instrumentation failure. No other complications were observed. The segmental correction was maintained successfully in all of the patients. The mean correction loss was 6degrees. Conclusions. The use of anterior spinal stabilization accompanied with a structural allograft fibula is effective after proper radical debridement for interbody fusion, deformity correction, and maintenance in cases of multisegment involved Pott disease.en_US
dc.identifier.doi10.1097/00007632-200303010-00012en_US
dc.identifier.endpage479en_US
dc.identifier.issn0362-2436en_US
dc.identifier.issn1528-1159en_US
dc.identifier.issue5en_US
dc.identifier.pmid12616160en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage474en_US
dc.identifier.urihttps://dx.doi.org/10.1097/00007632-200303010-00012
dc.identifier.urihttps://hdl.handle.net/20.500.12395/18606
dc.identifier.volume28en_US
dc.identifier.wosWOS:000181418200011en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofSPINEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectanterior instrumentationen_US
dc.subjectallograft fibulaen_US
dc.subjectPott diseaseen_US
dc.titleThe role of anterior spinal instrumentation and allograft fibula for the treatment of Pott diseaseen_US
dc.typeArticleen_US

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