Table 4 Clinical outcome of spinal tuberculosis patients using anterior or posterior debridement joint bone graft and internal fixation by stratification of the vertebra
Vertebra affected | ||||||
|---|---|---|---|---|---|---|
Lumbar | Thoracic | |||||
Anterior | Posterior | p value a | Anterior | Posterior | p value a | |
No. of individuals | 19 | 73 | 18 | 76 | ||
Cobb’s angle | ||||||
Preoperative | 8.7 ± 16.6 | − 5.6 ± 16.0 | 0.002 | 15.9 ± 15.3 | 14.4 ± 12.7 | 0.70 |
Postoperative | − 3.3 ± 13.2 | − 10.1 ± 13.8 | 0.05 | 8.1 ± 9.7 | 10.3 ± 6.5 | 0.25 |
VAS score | ||||||
Preoperative | 4.6 ± 1.3 | 3.8 ± 1.2 | 0.01 | 4.4 ± 1.3 | 3.6 ± 1.2 | 0.01 |
Postoperative | 0.6 ± 0.5 | 0.7 ± 0.7 | 0.78 | 0.9 ± 0.7 | 0.7 ± 0.9 | 0.22 |
Follow-up | 0.2 ± 0.4 | 0.3 ± 0.5 | 0.55 | 0.3 ± 0.5 | 0.2 ± 0.4 | 0.54 |
Frankel score | ||||||
Preoperative | 0.01 | 0.81 | ||||
A | 0 | 0 | 0 | 3 (4.0%) | ||
B | 0 | 0 | 1 (5.6%) | 6 (7.9%) | ||
C | 0 | 1 (1.4%) | 2 (11.1%) | 6 (7.9%) | ||
D | 3 (15.8%) | 36 (49.3%) | 7 (38.9%) | 19 (25.0%) | ||
E | 16 (84.2%) | 36 (49.3%) | 8 (44.4%) | 41 (54.0%) | ||
Postoperative | 0.58 | 0.49 | ||||
A | 0 | 0 | 0 | 0 | ||
B | 0 | 0 | 0 | 1 (1.3%) | ||
C | 0 | 0 | 1 (5.6%) | 3 (4.0%) | ||
D | 0 | 5 (6.9%) | 5 (27.8%) | 12 (15.8%) | ||
E | 19 (100%) | 68 (93.1%) | 12 (66.7%) | 60 (79.0%) | ||
Surgery duration (minutes) | 224.8 ± 70.8 | 211.6 ± 75.9 | 0.48 | 200.1 ± 73.4 | 236.0 ± 90.0 | 0.08 |
Perioperative blood loss (ml) | 671.6 ± 458.9 | 732.3 ± 846.7 | 0.76 | 777.8 ± 632.0 | 764.5 ± 596.3 | 0.94 |
Comorbidity | ||||||
Yes | 6 (31.6%) | 14 (19.2%) | 0.35 | 5 (27.8%) | 20 (26.3%) | 1.00 |
No | 13 (68.4%) | 59 (80.8%) | 13 (72.2%) | 56 (73.7%) | ||
Hospitalization (days) | 18.5 ± 7.5 | 17.4 ± 8.7 | 0.61 | 21.2 ± 8.8 | 23.8 ± 44.1 | 0.64 |
Fused segment | 2.16 ± 0.37 | 2.11 ± 0.40 | 0.67 | 2.28 ± 0.57 | 2.36 ± 0.83 | 0.70 |