000			03083cam a2200349 a 4500
003			EG-GiCUC
005			20250223031957.0
008			180417s2017 ua h f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.25.Ph.D.2017.Ah.U
100	0		_aAhmed Khamees Abdelhaleem
245	1	4	_aThe use of posterior spinal debridement and fixa-tion treatment in patients with suspected thoraco-lumbar tuberculous spondylodiscitis / _cAhmed Khamees Abdelhaleem ; Supervised Naguib Basha , Hazem Bayoumi Elsebaie , Omar Suliman
246	1	5	_aاستخدام التثبيت الخلفى و الإنضار فى علاج المرضى المشتبه فى إصابتهم بالتهاب الفقرات الصدرية القطنية الدرنى
260			_aCairo : _bAhmed Khamees Abdelhaleem , _c2017
300			_a141 P. : _bfacsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery
520			_aBackground: Spinal tuberculosis occurs in less than 1% of patients with TB (2, 3), but the increasing frequency of TB in both developed and developing countries have continued to make spinal TB a health problem (2). Spinal TB (Pott{u2019}s disease) is the most common as well as one of the most dangerous forms of skeletal TB and accounts for 50% of all cases of skeletal TB. Mainly in the thoracolumbar area (1). Methods: FromJuly 2015 to December 2016, 20 patients with suspected spinal thoraco-lumbar tuberculosis treated by isolated posterior debridement and fixation and followed up for 12 months with anti TB chemotherapy. The mean age of patients was 41.10 (SD ±13.28) years. Clinical assessment by ambulatory status (AS), Visual analogue scale (VAS) score, american spinal Injury association (ASIA) impairment scale. Radiological assessment: Posterior and anterior vertebral height, segmental, local sagittal angle and bony fusion. Laboratory assessment: ESR, CRP were evaluated. Results: Post-operative radiological assessment showed that the mean sagittal segmental anglecorrection from 24.5{u00BA} to 8.55{u00BA}, and the mean sagittal local angle correction from 22.55{u00BA} to 7.9{u00BA}. The mean anterior vertebral body height was 3.08 cmchanged to 3.9 cm. The mean posteriorvertebral body height was 4.05 cmimproved to 4.54 cm. bony fusion achieved in 75% patients within one year FU. Post-operative clinical assessment showed that the mean VAS score of the patients were decreased from 5.3 before surgery to 0.55 at one year FU and neurological condition in all patients improved after surgery
530			_aIssued also as CD
653		4	_aPosterior-only approachfor TB spine
653		4	_aPott{u2019}s disease
653		4	_aThoracolumbar TB
700	0		_aHazem Bayoumi Elsebaie , _eSupervisor
700	0		_aNaguib Basha , _eSupervisor
700	0		_aOmar Suliman , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c65916 _d65916