Observation on short term effect of anterior trans-injured vertebral short segment limited fixation and fusion in treating thoracic and lumbar spinal tuberculosis
10.3969/j.issn.1671-8348.2015.26.019
- VernacularTitle:前路经病椎短节段有限固定融合治疗胸腰椎结核的近期临床疗效观察
- Author:
Yun ZHAO
;
Limin LIU
;
Wanping ZHENG
- Publication Type:Journal Article
- Keywords:
short segment;
limited fixation;
bone graft;
spinal tuberculosis;
fusion rate
- From:
Chongqing Medicine
2015;(26):3658-3660
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the anterior trans-injured vertebral short segment limited fixation and fusion in treating thoracic and lumbar spinal tuberculosis.Methods One hundred and three patients with spinal tuberculosis from 2010 to 2012 were operated by trans-anterior approach(trans-thoracic above thoracic spine 12,trans-retroperitoneal below waist spine 1)tuberculosis focus clearance and spinal canal decompression,intervertebral bone graft of vertebral structure,and short segment internal fixation for residual disease spine.Results The nerve function of the patients was effectively improved after surgery,and the imaging re-sults showed that the average lesion kyphosis angle was significantly decreased(P <0.05).The postoperative follow-up found that the bone graft was fused after half a year,and the average local kyphosis angle was still 13°,which had no obvious change compared with that after operation.In addition,the internal fixation position had no looseness and fracture,the grafted bone had no displace-ment and detachment,the four limbs movement was normal without local percussion pain or tenderness.Conclusion The anterior trans-injured vertebral short segment limited fixation and fusion has the satisfactory short term clinical efficacy in the treatment of thoracic and lumbar spinal tuberculosis.
