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The efficacy of single posterior debridement, bone grafting, and instrumentation for the treatment of thoracic spinal tuberculosis

Yongchun Zhou, Jiao Zhou, Quanyi Li, Qichun Song,

<title>Abstract</title> <p> Background: The aim of this study was to investigate the clinical efficacy of single posterior debridement, bone grafting, and instrumentation for the treatment of thoracic spinal tuberculosis of adult patients. Methods: A retrospective analysis was conducted on 88 adult patients with thoracic spinal tuberculosis between ... Read more >>

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Assessment of Clinical and Radiological Parameters in Spinal Tuberculosis: Comparison between Human Immunodeficiency Virus-Positive and Human Immunodeficiency Virus-Negative Patients.

Shrikant Shrikrishnarao Sagane, Vishal Supda Patil, Girish Dnyaneshwar Bartakke, Kaustubh Yeshwant Kale,

Study Design:Prospective comparative study. Purpose:A prospective comparative analysis of 30 patients with spinal tuberculosis (15 human immunodeficiency viruses [HIV] positive and 15 HIV negative). We compared the clinical and radiological parameters of the two groups. Overview of Literature:With the increasing incidence of HIV and tuberculosis co-infection, spinal tuberculosis is increasing ... Read more >>

Asian Spine J (Asian spine journal)
[2020, :]

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Transverse process strut and titanium mesh cages in the stability reconstruction of thoracic single segment tuberculosis: a retrospective single-center cohort study.

Weiyang Zhong, Xinjie Liang, Ke Tang, Xiaoji Luo, Zhengxue Quan,

BACKGROUND:A retrospective and comparative study of transverse process strut (TPS, Group A) compared with titanium mesh cages (TMCs, Group B) in the reconstruction of thoracic stability through the one-stage posterior approach to treat single-segment tuberculosis. METHODS:Sixty patients from January 2013 to December 2016 were analyzed and divided into two groups. ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):172]

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Diagnostic Value of Recombinant Heparin-binding Hemagglutinin Adhesin Protein in Spinal Tuberculosis.

Feifei Pu, Jing Feng, Fei Niu, Ping Xia,

Background and aim:To explore the diagnostic value of recombinant heparin-binding hemagglutinin adhesin (HBHA) protein antigen in spinal tuberculosis. Materials and methods:Forty patients with spinal tuberculosis were included in the experimental group and 40 healthy people were included in the control group. Serum IgG antibody expression level was detected with recombinant ... Read more >>

Open Med (Wars) (Open medicine (Warsaw, Poland))
[2020, 15:114-118]

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Short-term outcome of lamina-sparing decompression in thoracolumbar spinal tuberculosis.

Gagandeep Yadav, Pankaj Kandwal, Shobha S Arora,

OBJECTIVE:The authors sought to assess the outcomes of lamina-sparing decompression using a posterior-only approach in patients with thoracolumbar spinal tuberculosis (TB). In patients with spinal TB with paraplegia, anterior decompression yields excellent results because it allows direct access to the diseased part of the vertebra, but the anterior approach has ... Read more >>

J Neurosurg Spine (Journal of neurosurgery. Spine)
[2020, :1-8]

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Bone flap resorption associated with indolent Propionibacterium acnes infection after cranioplasty: case report with pathological analysis.

Nathan A Shlobin, Aaron H Palmer, Kwok-Ling Kam, Daniel J Brat, Matthew B Potts,

BACKGROUND:Autologous bone resorption is a frequent complication of cranioplasty, often necessitating reoperation. The etiology of this phenomenon is not known although it has recently been associated with indolent Propionibacterium acnes (P. acnes) infection. CASE DESCRIPTION:Here we present the case of a patient who initially presented with a traumatic acute subdural ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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Analysis of the Curative Effect of the Anterior Approach to the Lower Cervical Spine for Cervicothoracic Spinal Tuberculosis.

Zhaowei Li, Kunxiang Li, Baoming Tang, Rong Ren, Yuan Zhang, Zeqing Li, Zengdong Wang, Xuebin Zhang,

BACKGROUND:The purpose of this study was to explore the clinical effect of the anterior approach to the lower cervical spine for cervicothoracic spinal tuberculosis (CTSTB). METHODS:A total of 8 patients (6 males and 2 females) with CTSTB diagnosed by imaging examination and γ-interferon test, underwent the first stage lesion removal, ... Read more >>

J Craniofac Surg (The Journal of craniofacial surgery)
[2020, 31(2):480-483]

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Answer to the Letter to Editor of Mallepally AR, et al. concerning "Diagnostic accuracy of whole spine magnetic resonance imaging in spinal tuberculosis validated through tissue studies" by Kanna RM, et al. (Eur Spine J; 28 [2019]:3003-3010).

Rishi M Kanna,

Eur Spine J (European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society)
[2020, :]

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Letter to Editor concerning "Diagnostic accuracy of whole spine magnetic resonance imaging in spinal tuberculosis validated through tissue studies" by Kanna RM, et al. (Eur Spine J; 28 [2019]:3003-3010).

Abhinandan Reddy Mallepally, Nandan Marathe,

Eur Spine J (European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society)
[2020, :]

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Posterior-only vs. combined posterior-anterior approaches in treating lumbar and lumbosacral spinal tuberculosis: a retrospective study with minimum 7-year follow-up.

Zheng Liu, Penghui Zhang, Weiwei Li, Zhengchao Xu, Xiyang Wang,

BACKGROUND:There is no comparative study with long-term follow-up between posterior-only and combined posterior-anterior approaches in treating lumbar spinal tuberculosis (LSTB) and lumbosacral spinal tuberculosis (LSSTB). This retrospective study aimed to compare and evaluate the long-term outcomes of these two surgical approaches in LSTB and LSSTB. METHODS:Thirty patients with LSTB and ... Read more >>

J Orthop Surg Res (Journal of orthopaedic surgery and research)
[2020, 15(1):99]

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Surgical strategy for correction of severe, rigid, post-tubercular cervical kyphosis: an experience of two cases.

Bhavuk Garg, Nishank Mehta, Pulak Vatsya,

STUDY DESIGN:Case series. OBJECTIVES:To describe a novel surgical strategy for severe, rigid post-tubercular cervical kyphosis with treatment outcomes in two patients. BACKGROUND DATA:Spinal tuberculosis is a common cause of kyphotic deformity in the developing world with 3-5% of non-operatively managed patients ending up with kyphosis exceeding 60°. Ventral, dorsal and ... Read more >>

Spine Deform (Spine deformity)
[2020, :]

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Tuberculous spondylodiscitis in abscess form.

Handan Alay, Elif Gözgeç,

Rev. Soc. Bras. Med. Trop. (Revista da Sociedade Brasileira de Medicina Tropical)
[2020, 53:e20190581]

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The Utility of PET/CT in Guiding Radiotherapy Reduction for Children With Hodgkin Lymphoma Treated With ABVD.

Katrina M Ingley, Helen R Nadel, Jim E Potts, Don C Wilson, Arash Eftekhari, Rebecca J Deyell,

ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine) is standard upfront chemotherapy for adults diagnosed with Hodgkin lymphoma (HL), but positron emission tomography (PET)-based response data following ABVD is lacking for pediatrics. Among children who received ABVD for HL, we document interim and end of therapy PET-computed tomography (CT) response by Deauville criteria, ... Read more >>

J. Pediatr. Hematol. Oncol. (Journal of pediatric hematology/oncology)
[2020, 42(2):e87-e93]

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A new severity scoring system designed for the management of adult spinal tuberculosis—a retrospective case series study

Xuesong Zhang, Qi Wang, Xiaobo Luo, Chi Wang, Wenhao Hu, Litao Li, Fanqi Hu, Yan Wang, Yuanzheng Ma,

<title>Abstract</title> <p> Background: Surgeons have been successfully handle with spinal tuberculosis via conservative or surgical treatment. However, There are quite few classifications or scoring systems concerning spinal tuberculosis to guide the surgeons to manage the complicated pattern of spinal tuberculosis. The purpose of this study is to design ... Read more >>

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Drug sensitivity patterns in Xpert-positive spinal tuberculosis: an observational study of 252 patients.

Mihir Upadhyay, Jwalant Patel, Vishal Kundnani, Sameer Ruparel, Ankit Patel,

PURPOSE:To evaluate the sensitivity patterns of anti-tubercular drugs in Xpert MTB-positive spinal tuberculosis (TB) patients and to formulate the guidelines for early start of empiric anti-tubercular treatment (ATT) in MDR-TB spine based on resistance pattern in this large series. METHODS:It was a cross-sectional observational study of 252 consecutive patients who ... Read more >>

Eur Spine J (European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society)
[2020, :]

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Nonstructural versus structural bone grafting in the treatment of lumbar spinal tuberculosis combined with single-stage posterior debridement and instrumentation: a retrospective cohort study

Yunsheng Ou, Zenghui Zhao, Jianxiao Li, Qiqi Peng, Yong Zhu, Wei Luo, Xing Du,

<title>Abstract</title> <p> Background Many types of bone grafting have been reported for successful use in achieving anterior column support and bone fusion after one stage posterior debridement in the treatment of lumbar spinal tuberculosis. However, none-structural bone grafting has rarely been studied. This study was aimed to identify ... Read more >>

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Spinal tuberculosis: proposed spinal infection multidisciplinary management project (SIMP) flow chart revision.

E Vanino, M Tadolini, G Evangelisti, E Zamparini, L Attard, K Scolz, S Terzi, G Barbanti Brodano, M Girolami, V Pipola, A Gasbarrini, P Viale,

OBJECTIVE:We propose a revised flow chart of spinal infection multidisciplinary management project (SIMP) aimed to standardize the diagnostic process and management of spinal tuberculosis (TB). MATERIALS AND METHODS:We reviewed data from all TB cases with osteoarticular involvement treated at a large tertiary teaching hospital in Bologna, Northern Italy, from January ... Read more >>

Eur Rev Med Pharmacol Sci (European review for medical and pharmacological sciences)
[2020, 24(3):1428-1434]

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Diagnostic Efficacy, Sensitivity, and Specificity of Xpert MTB/RIF Assay for Spinal Tuberculosis and Rifampicin Resistance.

Jwalant Patel, Mihir Upadhyay, Vishal Kundnani, Zahir Merchant, Sanyam Jain, Neil Kire,

STUDY DESIGN:A cross-sectional observational study. OBJECTIVE:This study aims to determine the diagnostic accuracy, sensitivity, and specificity of the Xpert MTB/RIF assay (Mycobacterium Tuberculosis/Rifampicin resistance) for the detection of spinal Tuberculosis (TB) and rifampicin (RIF) resistance. SUMMARY OF BACKGROUND DATA:The Spinal TB is often a paucibacillary extra pulmonary tuberculosis which gives ... Read more >>

Spine (Spine)
[2020, 45(3):163-169]

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LONGITUDINAL STUDY OF RPE65-ASSOCIATED INHERITED RETINAL DEGENERATIONS.

Laurence H M Pierrache, Babak Ghafaryasl, Muhammad I Khan, Susanne Yzer, Maria M van Genderen, José Schuil, F Nienke Boonstra, Jan W R Pott, Jan Tjeerd H N de Faber, Martha J H Tjon-Fo-Sang, Koenraad A Vermeer, Frans P M Cremers, Caroline C W Klaver, L Ingeborgh van den Born,

PURPOSE:To study the disease course of RPE65-associated inherited retinal degenerations (IRDs) as a function of the genotype, define a critical age for blindness, and identify potential modifiers. METHODS:Forty-five patients with IRD from 33 families with biallelic RPE65 mutations, 28 stemming from a genetic isolate. We collected retrospective data from medical ... Read more >>

Retina (Philadelphia, Pa.) (Retina (Philadelphia, Pa.))
[2020, :]

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[One-stage posterior debridement combined with lumbar-ilium fixation and bone graft fusion for the treatment of lumbosacral tuberculosis].

Fei Liu, Shi-Yuan Shi, Qi Zheng, Jian Shen, Yi-Fan Wang, Tian-Yi Cao,

OBJECTIVE:To investigate the clinical effect of One-stage posterior debridement combined with lumbar-ilium fixation and bone graft fusion for the treatment of lumbosacral tuberculosis. METHODS:The clinical data of 31 patients with lumbosacral tuberculosis treated by one-stage posterior debridement combined with lumbar-ilium fixation and bone graft fusion from January 2013 to February ... Read more >>

Zhongguo Gu Shang (Zhongguo gu shang = China journal of orthopaedics and traumatology)
[2020, 33(2):166-172]

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Percutaneous coronary intervention outcomes in patients with rheumatoid arthritis, systemic lupus erythematosus and systemic sclerosis.

Sara C Martinez, Mohamed Mohamed, Jessica Potts, Abhishek Abhishek, Edward Roddy, Michael Savage, Aditya Bharadwaj, Chun Shing Kwok, Rodrigo Bagur, Mamas A Mamas,

Rheumatology (Oxford) (Rheumatology (Oxford, England))
[2020, :]

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Impact of re-definition of paroxysmal and persistent atrial fibrillation in the 2012 and 2016 European Society of Cardiology atrial fibrillation guidelines on outcomes after pulmonary vein isolation.

Karolina Weinmann, Deniz Aktolga, Alexander Pott, Carlo Bothner, Manuel Rattka, Tilman Stephan, Wolfgang Rottbauer, Tillman Dahme,

PURPOSE:In the 2016 European Society of Cardiology (ESC) guidelines for the management of atrial fibrillation (AF), the definition of AF type has been modified compared with the 2010 guidelines and its 2012 focused update. We compared the difference of single procedure outcomes using the definitions before and after 2016 on ... Read more >>

J Interv Card Electrophysiol (Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing)
[2020, :]

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Current Study of the Detection and Treatment Targets of Spinal Tuberculosis.

Biao Wang, Wenjie Gao, Dingjun Hao,

Spinal tuberculosis is a common manifestation of extrapulmonary tuberculosis and osteoarticular tuberculosis. Common clinical manifestations include constitutional symptoms, back pain, spinal tenderness, paraplegia, and spinal deformities. They are the common causes of paralysis and could increase the mortality in patients. Most cases of spinal tuberculosis remaining undiagnosed, and early clinical ... Read more >>

Curr Drug Targets (Current Drug Targets)
[2020, 21(4):320-327]

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Outcomes and complications with age in spondylolisthesis: An evaluation of the elderly from the Quality Outcomes Database.

Michael Karsy, Andrew K Chan, Praveen V Mummaneni, Michael S Virk, Mohamad Bydon, Steven D Glassman, Kevin T Foley, Eric A Potts, Christopher I Shaffrey, Mark E Shaffrey, Domagoj Coric, Anthony L Asher, John J Knightly, Paul Park, Kai-Ming Fu, Jonathan R Slotkin, Regis W Haid, Michael Wang, Erica F Bisson,

STUDY DESIGN:Prospective database analysis OBJECTIVE.: To assess the effect of age on patient-reported outcomes (PROs) and complication rates after surgical treatment for spondylolisthesis SUMMARY OF BACKGROUND DATA.: Degenerative lumbar spondylolisthesis affects 3-20% of the population and up to 30% of the elderly. There is not yet consensus on whether age ... Read more >>

Spine (Spine)
[2020, :]

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Complications of Otitis Media and Sinusitis Caused by Streptococcus anginosus Group Organisms in Children.

J Chase McNeil, James J Dunn, Sheldon L Kaplan, Jesus G Vallejo,

BACKGROUND:The Streptococcus anginosus group (SAG, S. anginosus, S. intermedius and S. constellatus) are often associated with severe disease and abscess formation. In our institution, we observed an apparent increase in frequency of intraorbital and intracranial infections resulting from SAG at Texas Children's Hospital. We undertook a retrospective review to describe ... Read more >>

Pediatr. Infect. Dis. J. (The Pediatric infectious disease journal)
[2020, 39(2):108-113]

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