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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.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 56 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 56 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 16%
Student > Bachelor 4 7%
Student > Doctoral Student 4 7%
Student > Postgraduate 4 7%
Researcher 4 7%
Other 10 18%
Unknown 21 38%
Readers by discipline Count As %
Medicine and Dentistry 22 39%
Nursing and Health Professions 6 11%
Psychology 2 4%
Immunology and Microbiology 1 2%
Sports and Recreations 1 2%
Other 1 2%
Unknown 23 41%
Attention Score in Context

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
#20,459,801
of 23,016,919 outputs
Outputs from BMC Musculoskeletal Disorders
#3,668
of 4,092 outputs
Outputs of similar age
#373,525
of 438,550 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#80
of 91 outputs
Altmetric has tracked 23,016,919 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,092 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.1. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 91 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.