{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:22:20Z","timestamp":1761823340718},"reference-count":30,"publisher":"SLACK, Inc.","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2010,11,2]]},"abstract":"<jats:p>The goal of this study was to determine the efficacy and feasibility of surgical management of advanced thoracolumbar spine tuberculosis with kyphosis in children in poor general condition with 1-stage posterior decompression, interbody grafts, and posterior instrumentation and fusion.<\/jats:p>\n          <jats:p>Between 2006 and 2008, 7 children with advanced thoracolumbar spinal tuberculosis accompanied by kyphosis and in poor general condition were treated with 1-stage posterior decompression, interbody grafts, and posterior instrumentation and fusion followed by chemotherapy. Mean follow-up was 34 months (range, 27\u201342 months). Patients were evaluated pre- and postoperatively for erythrocyte sedimentation rate (ESR), neurological status, pain, spinal canal compromise, and kyphotic angle. Spinal tuberculosis was completely cured and the grafted bones fused in all 7 patients. There was no recurrence of the disease in any patient at final follow-up. In all patients, ESR was normal within 3 months, Frankel neurological classification improved, and pain relief was obtained. Average canal compromise was 52.57% (range, 35%\u201375%) preoperatively and 9.86% (range, 0%\u201319%) postoperatively. Average preoperative kyphosis was 37.9\u00b0, which decreased to 5.4\u00b0 postoperatively. There was no significant loss of correction at last follow-up.<\/jats:p>\n          <jats:p>Our results show that 1-stage posterior decompression, interbody grafts, and posterior instrumentation and fusion followed by chemotherapy is an alternative treatment for children with advanced thoracolumbar spinal tuberculosis and in poor general condition.<\/jats:p>","DOI":"10.3928\/01477447-20100924-10","type":"journal-article","created":{"date-parts":[[2010,11,5]],"date-time":"2010-11-05T15:12:13Z","timestamp":1288969933000},"page":"1-7","source":"Crossref","is-referenced-by-count":14,"title":["One-Stage Posterior Approach and Combined Interbody and Posterior Fusion for Thoracolumbar Spinal Tuberculosis with Kyphosis in Children"],"prefix":"10.3928","volume":"33","author":[{"given":"Hong-Qi","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-Xiang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao-Feng","family":"Guo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin-Yang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian-Huang","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dai","family":"Guo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming-Xing","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B7.12170"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.75B2.8444930"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971090-00006"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/BLO.0b013e318073bd29"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/BLO.0b013e318065b75e"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000048666.17934.17"},{"issue":"3","key":"e_1_3_1_8_2","first-page":"179","article-title":"The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia. I","volume":"7","author":"Frankel HL","year":"1969","unstructured":"Frankel HL, Hancock DO, Hyslop G, et al. The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia. I. Paraplegia. 1969; 7(3):179\u2013192.","journal-title":"Paraplegia"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1085700"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200205000-00012"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000230326.21707.71"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199905000-00047"},{"issue":"1","key":"e_1_3_1_13_2","first-page":"1","article-title":"Single-stage autogenous bone grafting and internal fixation in the surgical management of pyogenic discitis and vertebral osteomyelitis","volume":"94","author":"Przybylski GJ","year":"2001","unstructured":"Przybylski GJ, Sharan AD. Single-stage autogenous bone grafting and internal fixation in the surgical management of pyogenic discitis and vertebral osteomyelitis. J Neurosurg. 2001; 94(1 Suppl):1\u20137.","journal-title":"J Neurosurg"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197254080-00004"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197557080-00012"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199309000-00020"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.85B1.13300"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bsd.0000211202.93125.c7"},{"issue":"8","key":"e_1_3_1_19_2","first-page":"641","article-title":"Current state and development in surgical treatment for children with spinal tuberculosis [in Chinese]","volume":"21","author":"Zheng CK","year":"2008","unstructured":"Zheng CK, Huang QS, Hu YZ. Current state and development in surgical treatment for children with spinal tuberculosis [in Chinese]. Zhongguo Gu Shang. 2008; 21(8):641\u2013643.","journal-title":"Zhongguo Gu Shang"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199605000-00013"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2005.3.6.0450"},{"issue":"4","key":"e_1_3_1_22_2","first-page":"265","article-title":"Clinical value of the posterolateral approach, supplemented with pedicle excision of the arch, to the anterior wall of the spinal canal within the thoracolumbar (Th11-L1) and lumbar spine [in Polish]","volume":"59","author":"Malawski S","year":"1994","unstructured":"Malawski S. Clinical value of the posterolateral approach, supplemented with pedicle excision of the arch, to the anterior wall of the spinal canal within the thoracolumbar (Th11-L1) and lumbar spine [in Polish]. Chir Narzadow Ruchu Ortop Pol. 1994; 59(4):265\u2013273.","journal-title":"Chir Narzadow Ruchu Ortop Pol"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200205000-00011"},{"key":"e_1_3_1_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199705150-00016"},{"key":"e_1_3_1_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2004.05.255"},{"issue":"203","key":"e_1_3_1_26_2","first-page":"99","article-title":"A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine","author":"Zindrick MR","year":"1986","unstructured":"Zindrick MR, Wiltse LL, Widell EH, et al. A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine. Clin Orthop Relat Res. 1986; (203):99\u2013112.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_1_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bsd.0000211241.06588.7b"},{"issue":"7","key":"e_1_3_1_28_2","first-page":"411","article-title":"One-stage posterior surgery for treatment of advanced spinal tuberculosis","volume":"66","author":"Chen YC","year":"2003","unstructured":"Chen YC, Chang MC, Wang ST, Yu WK, Liu CL, Chen TH. One-stage posterior surgery for treatment of advanced spinal tuberculosis. J Chin Med Assoc. 2003; 66(7):411\u2013417.","journal-title":"J Chin Med Assoc"},{"key":"e_1_3_1_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200211010-00019"},{"key":"e_1_3_1_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200205150-00020"},{"key":"e_1_3_1_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000084627.57308.4A"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/orthopedics\/spine\/journals\/ortho\/2010-11-33-11\/%7Be632293e-e3aa-4c43-ade1-e06ad82f97b4%7D\/one-stage-posterior-approach-and-combined-interbody-and-posterior-fusion-for-thoracolumbar-spinal-tuberculosis-with-kyphosis-in-children","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T00:38:42Z","timestamp":1683074322000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20100924-10"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,11,2]]},"references-count":30,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2010,11,2]]}},"alternative-id":["10.3928\/01477447-20100924-10"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20100924-10","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,11,2]]}}}