[Surgical treatment of @entity3083 associated with XXXX ].

@entity1 @entity583 @entity6 @entity16 @entity3083 @entity260 @entity358 @entity293 @entity299 @entity413 @entity451 @entity378 @entity943 @entity85
OBJECTIVE: To investigate the perioperative management and the results of surgical treatment of @entity3083 associated with @entity6 . METHODS: The clinical data were analysed retrospectively from 42 @entity1 with @entity3083 associated with @entity6 who were surgically treated between July 2001 and January 2009. There were 22 males and 20 females with an average age of 56.5 years (range, 41-78 years). The disease duration was 4-18 months (mean, 7.5 months). The involved vertebrae included 2 cervical vertebrae, 13 thoracic vertebrae, 17 thoracolumbar vertebrae, and 10 lumbar vertebrae. Of them, 18 @entity1 complicated by @entity451 , and 25 @entity1 had more than one of concomitant diseases. Anterior debridement and bony grafting with anterior instrumentation fixation were performed in 16 @entity1 ; anterior debridement and bony grafting with posterior instrumentation fixation in 4 @entity1 ; posterolateral costotransversectomy debridement and interbody fusion with posterior instrumentation fixation in 8 @entity1 ; posterior debridement and bony grafting with posterior fixation in 7 @entity1 ; sinus resectomy and focus debridement in 2 @entity1 ; anterior debridement and bony grafting in 3 @entity1 ; and CT guided percutaneous catheter drainage in 2 patients. Postoperative anti- @entity378 treatment was given for 12-24 months. RESULTS: The @entity1 were followed up 1.5-5.0 years, with a mean period of 3.5 years. One @entity1 died of @entity358 after 1 week of operation; 1 @entity1 died of @entity583 after 2 years of operation; and other @entity1 survived without @entity378 recurrence. Among 38 @entity1 who received bony grafting, 34 @entity1 achieved bony fusion, 3 suffered bony grafting failure without @entity85 or instability except 1 @entity1 who died from @entity358 . Among 18 cases complicated by @entity451 , nerve function improved to a certain extent. The intraoperative and @entity260 occurred in 28 cases. The systemic complications mainly included @entity299 in 5, @entity943 in 3, @entity358 in 2, @entity293 in 2, and stree ulcer in 1; they were cured after medical treatment. The local complications mainly included sinus tract formation in 5, pleural tear in 2, @entity16 in 2, intraoperative tear of inferior vena cava in 2, and the loosening of transpedicular screws in 4; they all were cured effectively. CONCLUSION: Surgical treatment of @entity3083 associated with @entity6 appears to be a beneficial procedure on the condition that the blood @entity413 is controlled and the associated @entity260 are properly handled, and reasonably selection of surgical procedures is very important. Instrumentation fixation provides adequate stability to allow early mobilization.
