Efficacy of Titanium Mesh Cages for Anterior Column Reconstruction after Thoracolumbar Corpectomy

Abdeen, Khaled

doi:10.4184/asj.2016.10.1.85

Cited by 10 publications

(6 citation statements)

References 26 publications

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“…We have preferred the allograft using titanium mesh in order to avoid additional autograft harvesting with potential complications. According to previous studies, titanium mesh provide better anterior column support and lower kyphosis angle loss rate [11,20,21,32,[35][36][37]. Similarly, this study has also concluded that the correction of kyphosis was achieved with satisfactory postoperative cobb angle and acceptable loss of correction.…”

Section: Discussionsupporting

confidence: 67%

The efficacy of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis

Wang

Hua

et al. 2020

BMC Surg

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Background: The bony fusion of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis has not been explained in detail. We aimed to analyze the efficacy of bony fusion of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis. Methods: We treated 32 thoracic or thoracolumbar tuberculosis patients by one-stage posterior debridement, allograft bone graft using titanium mesh, posterior instrumentation, and fusion from May 2011 to September 2015. The American Spinal Injury Association neurological classification, visual analog scale, and Oswestry disability index scores were analyzed preoperatively, postoperatively, and at final follow-up. The Cobb angles were recorded to evaluate the kyphosis correction and the loss of correction. The bony fusion was evaluated by X-ray and computed tomography images, and the bony fusion classifications were recorded. Results: All patients had pain relief. The erythrocyte sedimentation rate, C-response protein, and hepatorenal function were normal at final follow-up. The American Spinal Injury Association neurological classification, visual analog scale, and Oswestry disability index scores were improved in all the patients. All patients achieved bone fusion. Twenty-eight patients achieved complete fusion (Grade I), whereas only four patients achieved partial fusion (Grade II). The preoperative Cobb angle was 33.6 ± 9.3°. The Cobb angle was reduced to 10.6 ± 2.6°postoperatively and was found to be 11.4 ± 3.1°at the final follow-up. The mean angle correction was 23.0 ± 8.9°, and the correction rate was 66.2 ± 12.2%. The mean angle lost was 0.8 ± 0.9°, and the lost rate was 5.8 ± 5.4% at the final follow-up. Conclusions: Allograft bone using titanium mesh in the posterior-only surgical treatment is effective for patients with thoracic and thoracolumbar spinal tuberculosis. It can correct kyphosis, and most patients can achieve complete bony fusion.

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Section: Discussionsupporting

confidence: 67%

The efficacy of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis

Wang

Hua

et al. 2020

BMC Surg

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show abstract

“…According to previous studies, titanium mesh provide better anterior column support and lower kyphosis angle loss rate. [11,20,21,32,[35][36][37] Similarly, this study has also concluded that the correction of kyphosis was achieved with satisfactory postoperative cobb angle and acceptable loss of correction. The correction rate and kyphosis angle loss rate as other evaluation indicators for the posterior xation effectiveness and the anterior bony fusion rate were also summarized.…”

Section: Resultsmentioning

confidence: 74%

The efficacy of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis

Wang

Hua

et al. 2020

Preprint

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Background: The bony fusion of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis has not been explained in detail. We aimed to analyze the efficacy of bony fusion of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis.Methods: We treated 32 thoracic or thoracolumbar tuberculosis patients by one-stage posterior debridement, allograft bone graft using titanium mesh, posterior instrumentation, and fusion from May 2011 to September 2015. The American Spinal Injury Association neurological classification, visual analog scale, and Oswestry disability index scores were analyzed preoperatively, postoperatively, and at final follow-up. The Cobb angles were recorded to evaluate the kyphosis correction and the loss of correction. The bony fusion was evaluated by X-ray and computed tomography images, and the bony fusion classifications were recorded.Results: All patients had pain relief. The erythrocyte sedimentation rate, C-response protein, and hepatorenal function were normal at final follow-up. The American Spinal Injury Association neurological classification, visual analog scale, and Oswestry disability index scores were improved in all the patients. All patients achieved bone fusion. Twenty-eight patients achieved complete fusion (Grade I), whereas only four patients achieved partial fusion (Grade II). The preoperative Cobb angle was 33.6±9.3°. The Cobb angle was reduced to 10.6±2.6° postoperatively and was found to be 11.4±3.1° at the final follow-up. The mean angle correction was 23.0±8.9°, and the correction rate was 66.2±12.2%. The mean angle lost was 0.8±0.9°, and the lost rate was 5.8±5.4% at the final follow-up.Conclusions: Allograft bone using titanium mesh in the posterior-only surgical treatment is effective for patients with thoracic and thoracolumbar spinal tuberculosis. It can correct kyphosis, and most patients can achieve complete bony fusion.

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“…Apart from the ENT surgery, they are well known in general surgery, orthopaedics or maxillofacial surgery [20][21][22][23][24][25][26][27]. Such widespread use of titanium can be attributed to its favorable mechanical properties, corrosive resistance, biocompatibility and biotolerance [7,28].…”

Section: Discussionmentioning

confidence: 99%

Extended Open Partial Laryngectomy with Titanium-Based Laryngeal Framework Reconstruction: Surgical Technique and Treatment Outcomes

Wójtowicz¹,

Jurek-Matusiak²,

Ratajczak³

et al. 2017

Otolaryngol

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Efficacy of Titanium Mesh Cages for Anterior Column Reconstruction after Thoracolumbar Corpectomy

Cited by 10 publications

References 26 publications

The efficacy of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis

The efficacy of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis

The efficacy of allograft bone using titanium mesh in the posterior-only surgical treatment of thoracic and thoracolumbar spinal tuberculosis

Extended Open Partial Laryngectomy with Titanium-Based Laryngeal Framework Reconstruction: Surgical Technique and Treatment Outcomes

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