Aloinjertos corticales en la tuberculosis espinal. (Inglés)

Govender S, Kumar KP.
Department of Orthopaedic Surgery, Nelson R. Mandela School of Medicine, University of Natal, Private Bag 7, Congella, 4013, Durban, South Africa.

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 degrees (15 degrees -67 degrees ) was corrected to 18 degrees (5 degrees -45 degrees ). Fresh-frozen allografts are a suitable alternative to autologous rib and iliac crest grafts in the treatment of spinal tuberculosis.

Int Orthop. 2003; 27(4): 244-8. Epub 2003 Apr 25.

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