Efficacité du drainage scannoguidé des abcès iliopsoas associé à un abord chirurgical postérieur dans la tuberculose du rachis dorsal et lombaire de l’adulte - 23/11/17
Clinical efficacy of CT-guided percutaneous huge iliopsoas abscesses drainage combined with posterior approach surgery for the management of dorsal and lumbar spinal tuberculosis in adults
, X.X. Zhou a, X.B. Jiang c, ⁎ Abstract |
Purpose |
To evaluate the clinical efficacy of CT-guided percutaneous huge ilio-psoas abscesses drainage combined with posterior approach surgery for the management of dorsal and lumbar spinal tuberculosis in 16 adult cases.
Methods |
Between January 2006 and June 2013, a total of 16 dorsal and lumbar spinal tuberculosis patients with huge ilio-psoas abscesses underwent two-stage CT-guided percutaneous abscesses drainage and posterior debridement, decompression, intervertebral fusion and instrumentation. Standard quadruple antituberculous chemotherapy was performed both before and after surgery.
Result |
The average follow-up period was 26.7 months (range 18–38 months). There is no severe complication and relapse of spinal tuberculosis. The blood loss was 921.0±141.3mL, operation time was 174.8±15.7minutes. Kyphotic angle improved from 36.6±10.0° preoperatively to 8.1±1.8° postoperatively with 2.2±1.5° loss of correction at final follow-up. The solid bone fusion was achieved in all cases at average 6.6±2.2 months after surgery. Neurologic deficits were recovered in varing degrees except 4 cases remained the same. The postoperative quality of life significantly improved. The Oswestry Disability index (ODI) decreased from 32.8±10.6 preoperatively to 14.4±7.9 at the final follow-up.
Conclusion |
CT-guided percutaneous drainage combined with posterior approach surgery was proved to be safe and effective for the management of dorsal and lumbar spinal tuberculosis with huge iliopsoas abscesses in adults.
Level of study IV |
retrospective.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Spinal tuberculosis, Computed tomography, Percutaneous drainage, Posterior approach, Management
| ☆ | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 103 - N° 8
P. 917 - Dicembre 2017 Ritorno al numero
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