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Sacroiliac joint tuberculosis: surgical management by posterior open-window focal debridement and joint fusion

Overview of attention for article published in BMC Musculoskeletal Disorders, November 2017
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Title
Sacroiliac joint tuberculosis: surgical management by posterior open-window focal debridement and joint fusion
Published in
BMC Musculoskeletal Disorders, November 2017
DOI 10.1186/s12891-017-1866-9
Pubmed ID
Authors

Guo Zhu, Li-Yuan Jiang, Zhang Yi, Li Ping, Chun-Yue Duan, Cao Yong, Jin-Yang Liu, Jian-Zhong Hu

Abstract

Sacroiliac joint tuberculosis(SJT) is relatively uncommon, but it may cause severe sacroiliac joint destruction and functional disorder. Few studies in the literature have been presented on SJT, reports of surgical treatment for SJT are even fewer. In this study, we retrospectively reviewed surgical management of patients with severe SJT of 3 different types and proposed to reveal the clinical manifestations and features and aim to determine the efficiency and security of such surgical treatment. We reviewed 17 patients with severe SJT of 3 different types who underwent posterior open-window focal debridement and bone graft for joint fusion. Among them,five patients with anterior sacral abscess had anterior abscess curettage before debridement. Two patients with lumbar vertebral tuberculosis received one-stage posterior tuberculous debridement, interbody fusion and instrumentation. Follow-up was performed 36 months (26 to 45 months) using the following parameters: erythrocyte sedimentation rate(ESR), status of joint bony fusion on CT scan, visual analogue scale (VAS) and the Oswestry Disability Index (ODI). Buttock pain and low back pain were progressively relieved with time. 6 months later, pain was not obvious, and ESR resumed to normal levels within 3 months. Solid fusion of the sacroiliac joint occurred within 12 months in all cases. No complications or recurrence occurred. At final follow-up, all patients had no pain or only minimal discomfort over the affected joint and almost complete functional recovery. Posterior open-window focal debridement and joint fusion is an efficient and secure surgical method to treat severe SJT. If there is an abscess in the front of the sacroiliac joint, anterior abscess curettage should be performed as a supplement.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 48 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 48 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 17%
Student > Doctoral Student 4 8%
Student > Bachelor 4 8%
Researcher 3 6%
Other 2 4%
Other 7 15%
Unknown 20 42%
Readers by discipline Count As %
Medicine and Dentistry 16 33%
Nursing and Health Professions 6 13%
Psychology 2 4%
Immunology and Microbiology 1 2%
Sports and Recreations 1 2%
Other 1 2%
Unknown 21 44%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 July 2018.
All research outputs
#14,033,808
of 15,915,110 outputs
Outputs from BMC Musculoskeletal Disorders
#2,785
of 3,078 outputs
Outputs of similar age
#310,883
of 368,392 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#1
of 1 outputs
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