Analysis on risk factors of recurrence after debridement and bone graft fusion in elderly patients with spinal tuberculosis
10.3969/j.issn.1671-8348.2015.14.014
- VernacularTitle:老年脊柱结核病灶清除和植骨融合术后复发的危险因素分析
- Author:
Shengshou HAN
;
Shouning XIE
- Publication Type:Journal Article
- Keywords:
spinal tuberculosis;
postoperative recurrence;
debridement;
bone graft fusion;
risk factors
- From:
Chongqing Medicine
2015;(14):1908-1910
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the risk factors of recurrence after debridement bone graft fusion in elderly patients with spi‐nal tuberculosis(TB) .Methods The data of 415 elderly patients with spinal tuberculosis in our hospital from January 2003 to De‐cember 2013 were retrospectively analyzed .Among them ,46 cases (observation group) recurred and 369 cases(control group) had no postoperative recurrence .The preoperative anti‐TB treatment duration ,surgical removal degree of lesions ,postoperative stand‐ardized therapy ,extra‐skeletal TB ,drug resistance ,postoperative braking duration ,complicating systemic disease ,anemia or malnu‐trition ,etc .were statistically analyzed .Results Preoperative anti‐TB treatment duration ,surgical removal degree of lesions ,postop‐erative standardized therapy ,extra‐skeletal TB ,drug resistance ,postoperative braking duration ,complicating systemic disease ,ane‐mia or malnutrition were the major risk factors for postoperative recurrence of senile spinal TB ;preoperative anti‐TB treatment du‐ration ,surgical removal degree of lesions ,postoperative standardized therapy ,extra‐skeletal TB ,drug resistance ,postoperative bra‐king duration ,complicating systemic disease and anemia or malnutrition were closely related with postoperative recurrence of senile spinal TB ,which were their independent risk factors .Conclusion The recurrence of senile spinal tuberculosis and bone graft fusion and is closely related to various factors .