{"corpus_id":211061692,"paper_sha":"c17a517c6efdbe89a17e36bfbd6d1747a29583ae","doi":"10.1186/s12891-020-3115-x","arxiv_id":null,"pmid":32033563,"pmcid":"7007649","mag_id":3011950704,"dblp_id":null,"acl_id":null,"title":"One-stage posterior debridement, bone grafting fusion, and mono-segment vs. short-segment fixation for single-segment lumbar spinal tuberculosis: minimum 5-year follow-up outcomes","year":2020,"publication_date":"2020-02-07","venue":"BMC Musculoskeletal Disorders","journal":{"name":"BMC Musculoskeletal Disorders","pages":null,"volume":"21"},"journal_issn":null,"journal_title":null,"publication_types":["JournalArticle"],"pubmed_pub_types":["Comparative Study","Journal Article"],"s2_fields_of_study":["Medicine"],"reference_count":35,"citation_count":12,"influential_citation_count":0,"is_open_access":true,"arxiv_categories":null,"arxiv_license":null,"arxiv_journal_ref":null,"mesh_headings":[{"d":"Adult","mj":false,"ui":"D000328"},{"d":"Bone Transplantation","mj":false,"qs":[{"q":"adverse effects","mj":false,"ui":"Q000009"},{"q":"economics","mj":false,"ui":"Q000191"},{"q":"methods","mj":true,"ui":"Q000379"}],"ui":"D016025"},{"d":"Debridement","mj":false,"qs":[{"q":"adverse effects","mj":false,"ui":"Q000009"},{"q":"economics","mj":false,"ui":"Q000191"},{"q":"methods","mj":true,"ui":"Q000379"}],"ui":"D003646"},{"d":"Disability Evaluation","mj":false,"ui":"D004185"},{"d":"Female","mj":false,"ui":"D005260"},{"d":"Follow-Up Studies","mj":false,"ui":"D005500"},{"d":"Fracture Fixation, Internal","mj":false,"qs":[{"q":"adverse effects","mj":false,"ui":"Q000009"},{"q":"economics","mj":false,"ui":"Q000191"},{"q":"methods","mj":true,"ui":"Q000379"}],"ui":"D005593"},{"d":"Humans","mj":false,"ui":"D006801"},{"d":"Length of Stay","mj":false,"qs":[{"q":"economics","mj":false,"ui":"Q000191"},{"q":"statistics & numerical data","mj":false,"ui":"Q000706"}],"ui":"D007902"},{"d":"Low Back Pain","mj":false,"qs":[{"q":"diagnosis","mj":false,"ui":"Q000175"},{"q":"economics","mj":false,"ui":"Q000191"},{"q":"etiology","mj":false,"ui":"Q000209"},{"q":"surgery","mj":true,"ui":"Q000601"}],"ui":"D017116"},{"d":"Lumbar Vertebrae","mj":false,"qs":[{"q":"diagnostic imaging","mj":false,"ui":"Q000000981"},{"q":"pathology","mj":false,"ui":"Q000473"},{"q":"surgery","mj":false,"ui":"Q000601"}],"ui":"D008159"},{"d":"Male","mj":false,"ui":"D008297"},{"d":"Middle Aged","mj":false,"ui":"D008875"},{"d":"Operative Time","mj":false,"ui":"D061646"},{"d":"Pain Measurement","mj":false,"ui":"D010147"},{"d":"Retrospective Studies","mj":false,"ui":"D012189"},{"d":"Spinal Fusion","mj":false,"qs":[{"q":"adverse effects","mj":false,"ui":"Q000009"},{"q":"economics","mj":false,"ui":"Q000191"},{"q":"methods","mj":true,"ui":"Q000379"}],"ui":"D013123"},{"d":"Treatment Outcome","mj":false,"ui":"D016896"},{"d":"Tuberculosis, Spinal","mj":false,"qs":[{"q":"complications","mj":false,"ui":"Q000150"},{"q":"diagnosis","mj":false,"ui":"Q000175"},{"q":"economics","mj":false,"ui":"Q000191"},{"q":"surgery","mj":true,"ui":"Q000601"}],"ui":"D014399"},{"d":"Young Adult","mj":false,"ui":"D055815"}],"chemicals":null,"comments_corrections":null,"source_flags":5,"s2_open_access_pdf_url":"https://bmcmusculoskeletdisord.biomedcentral.com/track/pdf/10.1186/s12891-020-3115-x","s2_open_access_landing_url":"https://www.semanticscholar.org/paper/c17a517c6efdbe89a17e36bfbd6d1747a29583ae","s2_open_access_license":"CCBY","s2_open_access_status":"GOLD","pmc_open_access_pdf_url":null,"pmc_open_access_landing_url":null,"pmc_open_access_license":null,"pmc_open_access_status":null,"unpaywall_open_access_pdf_url":null,"unpaywall_open_access_landing_url":null,"unpaywall_open_access_license":null,"unpaywall_open_access_status":null,"abstract":"Background To compare the clinical and radiological outcomes between posterior mono-segment and short-segment fixation combined with one-stage posterior debridement and bone grafting fusion in treating single-segment lumbar spinal tuberculosis (LSTB). Methods Sixty-two patients with single-segment LSTB treated by a posterior-only approach were divided into two groups: short-segment fixation (Group A, n  = 32) and mono-segment fixation (Group B, n  = 30). The clinical and radiographic outcomes were analyzed and compared between the two groups. Results The intraoperative bleeding volume, operation time, and hospitalization duration were lower in Group B than in Group A. All patients achieved the bony fusion criteria. The visual analog scale score, Japanese Orthopedic Association score, and Oswestry Disability Index were substantially improved 3 months postoperatively and at the last visit in both groups, with no significant difference between the two groups ( P  > 0.05). Kirkaldy–Willis functional evaluation at the final follow-up demonstrated that all patients in both groups achieved excellent or good results. The difference in the angle correction rate and correction loss between Groups A and B was not significant ( P  > 0.05). Conclusions One-stage posterior debridement, bone grafting fusion, and mono-segment or short-segment fixation can provide satisfactory clinical and radiological outcomes. Mono-segment fixation is more suitable for the treatment of single-segment LSTB because the lumbar segments with normal motion can be preserved with less trauma, a shorter operation time, shorter hospitalization, and lower costs.","claims":[{"public_id":"cl_d61e10077d1d1ec51151a450746ff1aa","status":"active","text":"All patients achieved bony fusion criteria after one-stage posterior debridement and bone grafting fusion with either fixation strategy.","confidence":0.97,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/claims/cl_d61e10077d1d1ec51151a450746ff1aa"},{"public_id":"cl_21003710927ab4acd252eb0ad22b1901","status":"active","text":"Kirkaldy–Willis functional outcomes were excellent or good in all patients at final follow-up, and angle correction rate and correction loss did not differ significantly between 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lower costs.","confidence":0.95,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/claims/cl_34f0974df63784f6c13099a94f8debd8"},{"public_id":"cl_94056b508a24b0dd28ee99d32ea1631e","status":"active","text":"Visual analog scale, Japanese Orthopedic Association, and Oswestry Disability Index scores improved substantially by 3 months and at the last follow-up in both groups, with no significant difference between fixation strategies.","confidence":0.96,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/claims/cl_94056b508a24b0dd28ee99d32ea1631e"}],"concepts":[{"public_id":"co_33ab920efdd4f132b2e668dcb7532cf3","status":"active","name":"Kirkaldy–Willis functional evaluation","description":"A functional assessment system used to 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