POSTERIOR VERTEBRAL COLUMN RESECTION (PVCR): A SAFE AND EFFECTIVE OPTION TO TREAT KYPHOSIS FROM SPINAL TUBERCULOSIS
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Coluna/Columna |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000100042 |
Resumo: | ABSTRACT Objective: To evaluate the clinical and radiological results of posterior vertebral column resection (PVCR) for the treatment of kyphosis from spinal tuberculosis. Methods: Retrospective study of a series of 14 cases, 9 female and 5 male, with a mean age of 28 years (1 to 64) at the time of surgery, with spinal tuberculosis with mean kyphosis of 56.42° (2° to 95°). Results: All patients underwent surgical treatment with PVCR, with a mean number of 2.57 (1 to 6) resected vertebrae and a mean number of instrumented vertebrae of 6.14 (4 to 8). The mean kyphosis correction was 64% after up to one year of follow-up. Prior to surgery, eight patients had signs of spinal cord impairment (ASIA score ranging from A to D), and six did not present any deficit of strength or sensory function (ASIA E). There was no neurological worsening and everyone with deficits improved by at least one degree on the scale. In the postoperative follow-up, bone consolidation was observed in all patients, except one. Among the intra- and postoperative complications, pleurotomy was the most prevalent. Conclusion: Posterior vertebral column resection has proven to be a safe and effective option for the treatment of kyphotic deformity from spinal tuberculosis. Level of evidence IV; Therapeutic studies - Investigation of treatment results. |
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POSTERIOR VERTEBRAL COLUMN RESECTION (PVCR): A SAFE AND EFFECTIVE OPTION TO TREAT KYPHOSIS FROM SPINAL TUBERCULOSISTuberculosis, SpinalOsteotomyNeurological DeficitABSTRACT Objective: To evaluate the clinical and radiological results of posterior vertebral column resection (PVCR) for the treatment of kyphosis from spinal tuberculosis. Methods: Retrospective study of a series of 14 cases, 9 female and 5 male, with a mean age of 28 years (1 to 64) at the time of surgery, with spinal tuberculosis with mean kyphosis of 56.42° (2° to 95°). Results: All patients underwent surgical treatment with PVCR, with a mean number of 2.57 (1 to 6) resected vertebrae and a mean number of instrumented vertebrae of 6.14 (4 to 8). The mean kyphosis correction was 64% after up to one year of follow-up. Prior to surgery, eight patients had signs of spinal cord impairment (ASIA score ranging from A to D), and six did not present any deficit of strength or sensory function (ASIA E). There was no neurological worsening and everyone with deficits improved by at least one degree on the scale. In the postoperative follow-up, bone consolidation was observed in all patients, except one. Among the intra- and postoperative complications, pleurotomy was the most prevalent. Conclusion: Posterior vertebral column resection has proven to be a safe and effective option for the treatment of kyphotic deformity from spinal tuberculosis. Level of evidence IV; Therapeutic studies - Investigation of treatment results.Sociedade Brasileira de Coluna2021-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000100042Coluna/Columna v.20 n.1 2021reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/s1808-185120212001235064info:eu-repo/semantics/openAccessGarcia,Plínio Braga LinharesSilva,Luis Eduardo Carelli Teixeira daBarros,Alderico Girão Campos deAlmeida,Luiz Eduardo Pereira Costa Assis deeng2021-02-12T00:00:00Zoai:scielo:S1808-18512021000100042Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2021-02-12T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
POSTERIOR VERTEBRAL COLUMN RESECTION (PVCR): A SAFE AND EFFECTIVE OPTION TO TREAT KYPHOSIS FROM SPINAL TUBERCULOSIS |
title |
POSTERIOR VERTEBRAL COLUMN RESECTION (PVCR): A SAFE AND EFFECTIVE OPTION TO TREAT KYPHOSIS FROM SPINAL TUBERCULOSIS |
spellingShingle |
POSTERIOR VERTEBRAL COLUMN RESECTION (PVCR): A SAFE AND EFFECTIVE OPTION TO TREAT KYPHOSIS FROM SPINAL TUBERCULOSIS Garcia,Plínio Braga Linhares Tuberculosis, Spinal Osteotomy Neurological Deficit |
title_short |
POSTERIOR VERTEBRAL COLUMN RESECTION (PVCR): A SAFE AND EFFECTIVE OPTION TO TREAT KYPHOSIS FROM SPINAL TUBERCULOSIS |
title_full |
POSTERIOR VERTEBRAL COLUMN RESECTION (PVCR): A SAFE AND EFFECTIVE OPTION TO TREAT KYPHOSIS FROM SPINAL TUBERCULOSIS |
title_fullStr |
POSTERIOR VERTEBRAL COLUMN RESECTION (PVCR): A SAFE AND EFFECTIVE OPTION TO TREAT KYPHOSIS FROM SPINAL TUBERCULOSIS |
title_full_unstemmed |
POSTERIOR VERTEBRAL COLUMN RESECTION (PVCR): A SAFE AND EFFECTIVE OPTION TO TREAT KYPHOSIS FROM SPINAL TUBERCULOSIS |
title_sort |
POSTERIOR VERTEBRAL COLUMN RESECTION (PVCR): A SAFE AND EFFECTIVE OPTION TO TREAT KYPHOSIS FROM SPINAL TUBERCULOSIS |
author |
Garcia,Plínio Braga Linhares |
author_facet |
Garcia,Plínio Braga Linhares Silva,Luis Eduardo Carelli Teixeira da Barros,Alderico Girão Campos de Almeida,Luiz Eduardo Pereira Costa Assis de |
author_role |
author |
author2 |
Silva,Luis Eduardo Carelli Teixeira da Barros,Alderico Girão Campos de Almeida,Luiz Eduardo Pereira Costa Assis de |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Garcia,Plínio Braga Linhares Silva,Luis Eduardo Carelli Teixeira da Barros,Alderico Girão Campos de Almeida,Luiz Eduardo Pereira Costa Assis de |
dc.subject.por.fl_str_mv |
Tuberculosis, Spinal Osteotomy Neurological Deficit |
topic |
Tuberculosis, Spinal Osteotomy Neurological Deficit |
description |
ABSTRACT Objective: To evaluate the clinical and radiological results of posterior vertebral column resection (PVCR) for the treatment of kyphosis from spinal tuberculosis. Methods: Retrospective study of a series of 14 cases, 9 female and 5 male, with a mean age of 28 years (1 to 64) at the time of surgery, with spinal tuberculosis with mean kyphosis of 56.42° (2° to 95°). Results: All patients underwent surgical treatment with PVCR, with a mean number of 2.57 (1 to 6) resected vertebrae and a mean number of instrumented vertebrae of 6.14 (4 to 8). The mean kyphosis correction was 64% after up to one year of follow-up. Prior to surgery, eight patients had signs of spinal cord impairment (ASIA score ranging from A to D), and six did not present any deficit of strength or sensory function (ASIA E). There was no neurological worsening and everyone with deficits improved by at least one degree on the scale. In the postoperative follow-up, bone consolidation was observed in all patients, except one. Among the intra- and postoperative complications, pleurotomy was the most prevalent. Conclusion: Posterior vertebral column resection has proven to be a safe and effective option for the treatment of kyphotic deformity from spinal tuberculosis. Level of evidence IV; Therapeutic studies - Investigation of treatment results. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000100042 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000100042 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1808-185120212001235064 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
dc.source.none.fl_str_mv |
Coluna/Columna v.20 n.1 2021 reponame:Coluna/Columna instname:Sociedade Brasileira de Coluna (SBCO) instacron:SBCO |
instname_str |
Sociedade Brasileira de Coluna (SBCO) |
instacron_str |
SBCO |
institution |
SBCO |
reponame_str |
Coluna/Columna |
collection |
Coluna/Columna |
repository.name.fl_str_mv |
Coluna/Columna - Sociedade Brasileira de Coluna (SBCO) |
repository.mail.fl_str_mv |
coluna.columna@uol.com.br||revistacoluna@uol.com.br |
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1752126616452988928 |