Two approaches for treating upper thoracic spinal tuberculosis with XXXX in the elderly: A retrospective case-control study.

@entity1 @entity190 @entity51 @entity2731 @entity378
OBJECTIVE: The current study compared clinical outcomes of two diverse therapeutic strategies for upper thoracic ( @entity2731 ) spinal @entity378 with @entity51 in elderly @entity1 . METHODS: A retrospective analysis was performed on 18 cases undergoing single-stage posterior transpedicular decompression, debridement, interbody fusion, and instrumentation (Group A). Sixteen cases underwent single- or two-stage anterior debridement, bone grafting, and posterior instrumentation (Group B). The clinical and radiographic results for these @entity1 were analyzed and compared. RESULTS: @entity1 were followed up for an average of 40.9  4.0 months (range 36-48 months). Results demonstrated that the average operative duration, @entity190 , hospital stays, and operative complication rate were lesser for Group A than for Group B. The average fusion time was 8.1  1.5 months and 7.8  2.9 months in Groups A and B, respectively (p>0.05). Cobb's angles were significantly corrected after surgical management, but loss of correction occurred in both groups. All @entity1 had significant postoperative neurological improvement. CONCLUSIONS: Single-stage posterior transpedicular debridement, decompression, interbody fusion and instrumentation might be a better surgical treatment compared with combined posterior and anterior approaches. Such techniques may result in fewer complications and a better quality of life for elderly @entity1 .
