caa a22 4500 445834811 CHVBK 20180317145327.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00586-010-1537-0 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1537-0 Single stage anterior reconstruction using titanium mesh cages in neglected kyphotic tuberculous spondylodiscitis of the cervical spine [Elektronische Daten] [Wael Koptan, Yasser ElMiligui, Mohammad ElSharkawi] 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 44.5years; 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 2years. Group 1 showed a better sagittal profile and local kyphosis was corrected from an average of 36° (10°-62°) to an average of −6° (+4° to −16°) compared to Group 2 corrected from an average of 30° (6°-48°) to an average of −1° (+2° to −13°). 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. Springer-Verlag, 2010 Titanium mesh cages nationallicence Tuberculosis nationallicence Spondylodiscitis nationallicence Cervical nationallicence Koptan Wael Orthopaedic Department, Faculty of Medicine, Cairo University, Giza, Egypt aut ElMiligui Yasser Orthopaedic Department, Faculty of Medicine, Cairo University, Giza, Egypt aut ElSharkawi Mohammad Orthopaedic Department, Faculty of Medicine, Assiut University, Assiut, Egypt aut European Spine Journal Springer-Verlag 20/2(2011-02-01), 308-313 0940-6719 20:2<308 2011 20 586 https://doi.org/10.1007/s00586-010-1537-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1537-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Koptan Wael Orthopaedic Department, Faculty of Medicine, Cairo University, Giza, Egypt aut NATIONALLICENCE 700 1- ElMiligui Yasser Orthopaedic Department, Faculty of Medicine, Cairo University, Giza, Egypt aut NATIONALLICENCE 700 1- ElSharkawi Mohammad Orthopaedic Department, Faculty of Medicine, Assiut University, Assiut, Egypt aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/2(2011-02-01), 308-313 0940-6719 20:2<308 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer