One-stage combined surgery with mesh cages for treatment of XXXX .

@entity1 @entity1513 @entity16 @entity4036 @entity4034 @entity2737 @entity1511 @entity281 @entity158 @entity702 @entity85
There is a controversy regarding most effective operative method for treatment of @entity1511 and whether to use metallic implants on the site of @entity281 . This retrospective study reports on the outcome of 17 @entity1 with persistent cervical and lumbar @entity1511 who had one-stage combined surgery and fusion with use of a @entity702 mesh cage for intractable @entity158 , @entity1513 , and @entity16 . All @entity1 tolerated the combined operation and were followed up on for 45 months. Incomplete @entity16 improved postoperatively an average 1.4 Frankel grades. Visual analog @entity158 score (mean) improved from 7 preoperatively to 2 postoperatively. Average correction of local @entity85 was 6 degrees without loss of correction at final observation. There was no expulsion or migration of any @entity702 mesh cage or loosening of the posterior instrumentation. There was an approach-related @entity4036 after @entity2737 . At the final followup, the combined operation in combination with the use of the mesh cage improved sagittal alignment and resulted in eradication of the @entity281 and attainment of solid fusion. The presence of the @entity702 mesh cage anteriorly at the site of @entity281 had no adverse effect on the course of @entity281 . @entity1 with cervical and lumbar @entity4034 can successfully have instrumented-combined, one-stage surgery. LEVEL OF EVIDENCE: Prognostic study, Level II (retrospective study). Please see the Guidelines for Authors for a complete description of levels of evidence.
