One-stage posterior surgery for treatment of advanced XXXX .

@entity1 @entity281 @entity85 @entity3083
BACKGROUND: It is not uncommon that some @entity1 in poor general condition and advanced @entity3083 cannot proceed with the staged anterior spinal surgery after posterior instrumentation. We demonstrated a group of @entity1 with advanced @entity3083 that were treated posterior procedure alone. METHODS: From January 1993 to January 2001, 12 @entity1 in our hospital in poor general condition and advanced @entity3083 -marked abscess with @entity85 more than 25 degrees and/or spinal canal compromised more than 30%, were treated in our hospital with posterior instrumentation and chemotherapy only. All @entity1 were immobilized postoperatively with orthosis until solid fusion was noted on bony graft. The chemotherapy persisted for at least 12 months in all @entity1 . RESULTS: Spontaneous bony fusion of vertebrae at 1-year follow-up averaged 75%. Solid union on posterior or posterolateral fusion was about 91.7%. Implant loosening and deep wound @entity281 were noted in 2 of the @entity1 respectively. We assessed the functional results with the postoperative activity condition, symptom relief and medication dependence in the 6th month after the spinal surgery. Seven cases of the 12 @entity1 (58.3%) had good to excellent results in this series. CONCLUSIONS: The one-stage posterior surgery adjunct with chemotherapy is a considerable and alternative treatment for @entity1 with advanced @entity3083 and in poor general condition.
