Turkish Neurosurgery 2013 , Vol 23 , Num 1
Application of an Antibiotic Crescent-Shaped Polymethylmethacrylate Strut in Thoracic Vertebral Tuberculosis
Wan JUN1, Kang YI-JUN2, Chen FEI2, Lv GUO-HUA2, Li DONG-ZHE2
1Xiangya Hospital Central South University, Department of Orthopedics, Changsha, China
2Xiangya Second Hospital Central South University, Department of Spine Surgery, Changsha, China
DOI : 10.5137/1019-5149.JTN.4218-11.0 Spinal tuberculosis accounts for up to 50% of all cases with musculoskeletal tuberculosis. In patients needing surgical treatment, the use of anterior instrumentation offers the theoretical advantage of more complete debridement and decompression, safer mobilization and reliable deformity correction. However, the placement of instrumentation in an infected area remains a matter of debate. We present a patient with thoracic vertebral tuberculosis using an antibiotic crescent-shaped PMMA strut for spinal reconstruction and fusion. The patient recovered satisfactory and no complication was observed in the follow-up. The antibiotic crescent-shaped PMMA strut can be used as a carrier for antibiotic drug and an ideal alternative for anterior spinal reconstruction. However, long-term outcome in this case requires further evaluation. Keywords : Antibiotic, Anterior reconstruction, Crescent-shaped, Polymethylmethacrylate, Spinal tuberculosis
Corresponding author : Kang Yı-jun, f2kangyijun@163.com