Clinical effectiveness of posterior-only approach using polyetheretherketone cage combined with single-segment instrumentation for lumbar tuberculosis in children

• Published in: Scientific reports 2021-12, Vol.11 (1), p.23512-23512, Article 23512
• Main Authors: Xu, Zhengquan, Chen, Lanhua, Wang, Changsheng, Zhang, Liqun, Xu, Weihong
• Format: Article
• Language: English
• Subjects: 692/699/255; 692/699/375; 692/699/476; Adolescent; Benzophenones - therapeutic use; Child; Children; Erythrocyte sedimentation rate; Female; Humanities and Social Sciences; Humans; Instrumentation; Invasiveness; Lumbar Vertebrae - surgery; Lumbosacral Region - surgery; Male; Medical records; multidisciplinary; Patients; Polymers - therapeutic use; Postoperative Period; Radiography - methods; Reconstructive Surgical Procedures - methods; Retrospective Studies; Science; Science (multidisciplinary); Spinal Fusion - methods; Thoracic Vertebrae - surgery; Treatment Outcome; Tuberculosis; Tuberculosis, Spinal - surgery
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-021-03029-w

We sought to investigate the outcomes of posterior-only approach using polyetheretherketone (PEEK) cage combined with single-segment instrumentation (modified-approach) for mono-segment lumbar tuberculosis in children. Between February 2008 and August 2017 in our hospital, 18 children with single-segment lumbar tuberculosis enrolled in this study were treated by modified-approach. Medical records and radiographs were retrospectively analyzed. Mean follow-up time was 54.6 ± 12.1 months. No severe complications were noted to have occurred. Measures indicated there was satisfactory bone fusion for all patients. Mean Cobb angles were significantly decreased from preoperative angle (19.8° ± 13.1°) to those both postoperatively (− 4.9° ± 7.6°) and at final follow-up (− 3.5° ± 7.3°) (both P