Cervical tuberculous spondylodiscitis is a serious, hazardous
disorder and to our knowledge, hardly any reports focused on the use of
titanium mesh cages in its treatment. The aim of this work is to
evaluate the efficacy of using a titanium mesh cage compared to iliac
crest grafting regarding correction of the deformity, fusion rate and to
report the incidence of complications. A prospective, non-randomized
multicentre study of 30 patients with cervical tuberculous
spondylodiscitis presenting with a neglected kyphotic deformity. The
average age was 44.5 years; 18 had neurological deficits. All patients
had a single stage radical debridement, decompression, and
instrumentation. The anterior column was reconstructed with a titanium
mesh cage in 16 patients (Group 1) and an autogenous iliac bone strut
graft in 14 (Group 2). Both groups were followed for a minimum of 2
years. Group 1 showed a better sagittal profile and local kyphosis was
corrected from an average of 36 degrees (10 degrees -62 degrees ) to an
average of -6 degrees (+4 degrees to -16 degrees ) compared to Group 2
corrected from an average of 30 degrees (6 degrees -48 degrees ) to an
average of -1 degrees (+2 degrees to -13 degrees ). Group 1 patients
showed a solid bony fusion without any recurrence of infection while
Group 2 showed a higher incidence of nonunion and of persistent donor
site morbidity. The use of titanium mesh cages effectively restores the
sagittal profile while adding immediate stability. There is no donor
site morbidity, recurrence, or persistence of infection associated with
their implantation.
Affiliation
Orthopaedic Department, Faculty of Medicine, Cairo University, Giza, Egypt, waelkoptan@yahoo.com.
Journal Details
This article was published in the following journal.
Name: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the Euro
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