Evidence map›Paper›PMID 26983410›Full record

ArticleInternational orthopaedics2016

One-stage posterior focus debridement, interbody graft using titanium mesh cages, posterior instrumentation and fusion in the surgical treatment of lumbo-sacral spinal tuberculosis in the aged.

Yu-Xiang Wang, Hong-Qi Zhang, Weiwei Liao, Ming-Xing Tang, Chao-Feng Guo, Ang Deng, Jian-Huang Wu, Jin-Yang Liu

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Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Yu-Xiang WangDepartment of Spine Surgery, Xiangya Spinal Surgery Center, Xiangya Hospital of Central South University, Xiang Ya Road 87, ChangSha, China.
Hong-Qi ZhangDepartment of Spine Surgery, Xiangya Spinal Surgery Center, Xiangya Hospital of Central South University, Xiang Ya Road 87, ChangSha, China. zhanghongqi9996@sina.com.
Weiwei LiaoDepartment of Health Management Center, Xiangya Hospital of Central South University, ChangSha, China.
Ming-Xing TangDepartment of Spine Surgery, Xiangya Spinal Surgery Center, Xiangya Hospital of Central South University, Xiang Ya Road 87, ChangSha, China.
Chao-Feng GuoDepartment of Spine Surgery, Xiangya Spinal Surgery Center, Xiangya Hospital of Central South University, Xiang Ya Road 87, ChangSha, China.
Ang DengDepartment of Spine Surgery, Xiangya Spinal Surgery Center, Xiangya Hospital of Central South University, Xiang Ya Road 87, ChangSha, China.
Jian-Huang WuDepartment of Spine Surgery, Xiangya Spinal Surgery Center, Xiangya Hospital of Central South University, Xiang Ya Road 87, ChangSha, China.
Jin-Yang LiuDepartment of Spine Surgery, Xiangya Spinal Surgery Center, Xiangya Hospital of Central South University, Xiang Ya Road 87, ChangSha, China.
Xiangya Hospital Central South University · CNCentral South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAged patients represent a high risk group for acquiring spinal tuberculosis, and it still remains a leading cause of kyphosis and paraplegia in developing nations. Aged patients often combined with cardiovascular and respiratory disease and single lung ventilation via anterior approach surgery could result in more post-operative complications. We aimed to analyze the efficacy and feasibility of surgical management of aged patients with lumbo-sacral spine tuberculosis using one-stage posterior focus debridement, interbody graft using titanium mesh cages, posterior instrumentation, and fusion.

methodsFrom March 2009 and July 2012, 17 aged patients with lumbo-sacral spinal tuberculosis were treated with one-stage posterior focus debridement, interbody graft using titanium mesh cages, posterior instrumentation, and fusion. There were eight male and nine female with a mean age of 63.3 years (range: 60-71 years). The mean follow-up was 46.5 months (range 38-70 months). Patients were evaluated before and after surgery in terms of ESR, neurological status, visual analog scale (VAS), and lumbosacral angle.

resultsSpinal tuberculosis was completely cured and the grafted bones were fused in all 17 patients. There were no recurrent tuberculous infections. ESR became normal within three months in all patients. The ASIA neurological classification and VAS scores improved in all cases. The average preoperative lumbosacral angle was 20.6° (range 18.1°-22.5°) and became 29.4° (range 27.1°-32.5°) at final follow-up.

conclusionsOur results showed that one-stage posterior focus debridement, interbody graft using titanium mesh cages, posterior instrumentation, and fusion was an effective treatment for aged patients with lumbo-sacral spinal tuberculosis. It is characterized with minimum surgical trauma, good pain relief, good neurological recovery, and good reconstruction of the spinal stability.

Indexed as

AgedDebridementFemaleFollow-Up StudiesHumansLumbosacral RegionMaleMiddle AgedProstheses and ImplantsSpinal FusionTitaniumTreatment OutcomeTuberculosis, SpinalTitaniumLumbo-sacralPosterior approachSpine tuberculosisThe agedTitanium mesh cages

Identifiers

PMID26983410
OpenAlexW2312143497

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.