One-stage surgical management and allograft in the treatment of multisegments spinal tuberculosis
- VernacularTitle:一期病灶清除同种异体骨移植治疗胸腰椎结核
- Author:
Lijun LI
;
Jun TAN
;
Wei ZHOU
- Publication Type:Journal Article
- Keywords:
spinal cord;
tuberculosis;
internal fixation;
bone graft
- From:
Orthopedic Journal of China
2006;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To assess the efficacy of one-stage anterior radical debridement,decompression,and fusion with anterior and/or posterior spinal instrumentation in the treatment of multisegments spinal tuberculosis.[Method]From 2001 and 2005,a total of 15 patients included thoracic,thoracolumbar and lumbar spinal tuberculosis underwent anterior debridement,allograft bone fusion,and stabilization with anterior and posterior instrumentation.The mini-invasive technique including thoracoscope and X-tube were applied in the later 8 cases.[Result]An average of 2.1 years' follow-up was achieved in 16 patients.The overall fusion rate was 100% in the dynamic lateral views.There was no graft problems.The kyphosis angles that were corrected postoperatively averaged 19.9?.All patients' neurological function were improved except that there was no change in 1 patient with Frankel grade B preoperatively.[Conclusion]Reconstructing the stability of spine is very important for the treatment of spinal tuberculosis.The application of internal instrument and allograft,choosing appropriate surgery can greatly improve the clinical results.Mini-invasive technique reduced blood lost and made the operation easier.
