Abstract
One-hundred-twenty-three patients with neurological deficit due to spinal tuberculosis underwent anterior spinal decompression and anterior column reconstruction with fresh-frozen femoral allograft. Fifty-two patients with a follow-up of more than 5 years were evaluated to assess the incorporation and the efficacy of allograft in maintaining correction. The allograft was incorporated in 49 patients at a mean follow-up of 6.5 (5.3–8.2) years. Complete neurological recovery occurred in 39 patients. The mean pre-operative kyphosis of 37° (15°–67°) was corrected to 18° (5°–45°). Fresh-frozen allografts are a suitable alternative to autologous rib and iliac crest grafts in the treatment of spinal tuberculosis.
Résumé
Cent vingt trois malades avec un déficit neurologique dû à une tuberculose vertébrale ont subi une décompression antérieure et une reconstruction de la colonne rachidienne antérieure par allogreffe fémorale congelée. Cinquante deux malades avec un suivi de plus de cinq années ont été évalués pour apprécier l'incorporation et l'efficacité des allogreffes dans le maintien de la correction. Les allogreffes ont été incorporés chez 49 malades ayant un suivi moyen de 6.5 années (5.3–8.2). La récupération neurologique complète s'est produite chez 39 malades. La cyphose pré - opératoire moyenne de 37° (15–67) a été ramenée à 18° (5–45). Les allogreffes congelées sont une alternative convenable aux greffes autologues de côte et de crête iliaque dans le traitement de la tuberculose vertébrale.
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