Comparison of anterior, posterior, and anterior combined with posterior surgical treatment of thoracic and lumbar spinal tuberculosis: a systematic review.
Comparison of anterior, posterior, and anterior combined with posterior surgical treatment of thoracic and lumbar spinal tuberculosis: a systematic review.
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DOI：
10.1177/0300060519830827
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发表时间：
2020-02
期刊：
影响因子：
--
通讯作者：
Lao L
中科院分区：
文献类型：
--
作者：
Bian Z;Gui Y;Feng F;Shen H;Lao L
本研究旨在比较不同手术入路治疗脊柱结核的效果。我们进行了文献检索，以识别和分析1966年1月至2018年4月期间发表的与前路、后路和前路联合后路治疗胸腰椎脊柱结核的比较相关的论文。本系统性综述中确定了25项研究，涉及2295例患者。前后联合入路手术时间明显长于其他两种入路。前后联合入路的失血量（1125.0 ± 275.5 mL）显著高于后路（710.4 ± 192.4 mL）。三种手术方法在矫正脊柱后凸角度方面的差异不显著。后路手术的总体手术和经胸并发症明显较低。所有患者的临床结局均得到改善，但三种手术之间无显著差异。三种入路的失血量、总体手术和经胸并发症以及手术时间不同。因此，在决定这三种程序时，必须仔细评估不同的因素。
This study was performed to compare different surgical approaches in the treatment of spinal tuberculosis. We conducted a literature search to identify and analyze papers published from January 1966 to April 2018 relevant to comparison of the anterior, posterior, and anterior combined with posterior approaches in the treatment of spinal tuberculosis of the thoracic and lumbar regions. Twenty-five studies involving 2295 patients were identified in this systematic review. The operative time was significantly longer in the anterior combined with posterior approach than in the other two approaches. Blood loss was significantly greater in the anterior combined with posterior approach (1125.0 ± 275.5 mL) than in the posterior approach (710.4 ± 192.4 mL). The difference in correction of the kyphosis angle among the three procedures was not significant. The overall surgical and transthoracic complications were significantly lower in the posterior approach. The clinical outcome of all patients improved, but there was no significant difference among the three procedures. Blood loss, overall surgical and transthoracic complications, and the operative time are different among the three approaches. Therefore, different factors must be carefully assessed in deciding among the three procedures.
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治疗胸椎和胸腰椎结核的单段经椎间孔减压术和后路器械植入术--回顾性病例系列
DOI：
10.1097/01.bsd.0000211241.06588.7b
发表时间：
2006-12-01
影响因子：
--
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
2.2
作者：
Laheri, VJ;Badhe, NP;Dewnany, GT
通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
2.8
作者：
Güzey, FK;Emel, E;Sel, B
通讯作者：
Sel, B