Selection of bone graft type for the surgical treatment of thoracolumbar spinal tuberculosis based on the spinal instability neoplastic score: a retrospective single-center cohort study

作者全名："Huang, Tianji; Han, Zhenghan; Luo, Wei; He, Bin; Zhu, Yong; Zhao, Zenghui"

作者地址："[Huang, Tianji; Han, Zhenghan; Luo, Wei; He, Bin; Zhu, Yong; Zhao, Zenghui] Chongqing Med Univ, Dept Orthoped Surg, Affiliated Hosp 1, Chongqing 400016, Peoples R China; [Huang, Tianji; Han, Zhenghan; Luo, Wei; He, Bin; Zhu, Yong; Zhao, Zenghui] Chongqing Med Univ, Orthoped Lab, Chongqing 400016, Peoples R China"

通信作者："Zhao, ZH (通讯作者)，Chongqing Med Univ, Dept Orthoped Surg, Affiliated Hosp 1, Chongqing 400016, Peoples R China.; Zhao, ZH (通讯作者)，Chongqing Med Univ, Orthoped Lab, Chongqing 400016, Peoples R China."

来源：BMC MUSCULOSKELETAL DISORDERS

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001013893800003

JCR分区：Q2

影响因子：2.2

年份：2023

卷号：24

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Thoracic vertebrae; Lumbar vertebrae; Tuberculosis; Spinal; Bone transplantation; Surgical procedures; Operative

摘要："ObjectivesThis study aimed to establish a standard for selecting bone graft type for thoracolumbar spinal tuberculosis surgery based on the spinal instability neoplastic score (SINS).MethodsPatients with thoracolumbar tuberculosis who underwent one-stage debridement posteriorly and instrumentation were divided into a structural bone graft group (SBG) (51 cases) and a non-structural bone graft group (NSBG) (54 cases) according to their SINS. SBG was performed when the SINS was & GE; 13 and NSBG was performed when it was 7 & LE; SINS & LE; 12. Baseline data, clinical outcomes, and imaging outcomes were collected and statistically analyzed between the two groups.ResultsSignificant improvements in clinical and imaging outcomes were achieved in both groups. Compared to the SBG group, the operation time of the NSBG group was shorter, the intraoperative blood loss of the NSBG group was less, the bone fusion time of the NSBG group was faster.ConclusionNon-structural and structural bone grafting can achieve comparable therapeutic effects in patients with spinal tuberculosis, and a suitable selection of bone grafts based on quantitative SINS will make full use of the advantages of different bone grafts."

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