Analysis of short-term efficacy of one-stage posterior sparing laminectomy for single level thoracolumbar tuberculosis
10.3969/j.issn.1671-8348.2024.04.006
- VernacularTitle:一期后路保留椎板病灶清除治疗单节段胸腰椎结核的短期疗效分析
- Author:
Wei ZENG
1
;
Guosheng ZHAO
;
Lu LIN
;
Yang LIU
;
Yang WANG
;
Wenyi ZHOU
;
Zhenyong KE
Author Information
1. 重庆医科大学附属第二医院骨科脊柱外科,重庆 400010
- Keywords:
thoracolumbar tuberculosis;
single segment;
one-stage posterior approach;
lamina-sparing
- From:
Chongqing Medicine
2024;53(4):508-511,516
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and short-term clinical efficacy of single segment thora-columbar tuberculosis treated with one-stage posterior approach lamina-sparing decompression.Methods A total of 11 patients with single segment thoracolumbar tuberculosis who underwent one-stage posterior ap-proach preservation of vertebral plate lesion removal,bone graft fusion,and internal fixation treatment in this hospital from September 2021 to June 2022 were selected.C-reactive protein(CRP)and erythrocyte sedimen-tation rate(ESR)were monitored to evaluate tuberculosis bacteremia and activity control,visual analogue scale(VAS)score and Oswestry disability index(ODI)were followed up to evaluate the improvement of clin-ical function,and the American Spinal Injury Association(ASIA)injury scale was used to evaluate neurologi-cal function,and the correction of kyphosis was followed up.Results All 11 patients were fully followed up.The average surgical duration is(270.91±45.98)minutes,and the average surgical bleeding is(522.72± 194.11)mL.During the follow-up period,none of the 11 patients experienced tuberculosis recurrence,and all 11 patients achieved bone graft fusion.The fusion time was 6-9 months after surgery with an average of(7.36±1.12)months.Two patients with preoperative nerve damage recovered after surgery.During the fol-low-up period,11 patients did not experience any complications related to surgery.The average CRP,ESR,ODI score,and VAS score of postoperative patients decreased compared to preoperative levels,and further de-creased at 12 months after surgery;The patient's kyphosis caused by thoracolumbar tuberculosis was correc-ted,and no obvious angle loss was found at the last follow-up(P＞0.05).Conclusion One-stage posterior ap-proach lamina-sparing decompression is a safe and effective method for treating single segment thoracolumbar tuberculosis.
