INTERNAL FIXATION OF POSTERIOR TRANSPEDICULAR SCREW SYSTEM AND POSTEROLATERAL AUTOGRAFT BONE GRAFT FUSION IN THE TREATMENT OF POTT'S PARAPLEGIA
- VernacularTitle:后路椎弓根系统内固定加椎板植骨融合治疗脊柱结核合并截瘫
- Author:
Yuanzheng MA
;
Xing CHEN
;
Haibi XUE
- Publication Type:Journal Article
- Keywords:
tuberculosis, spinal;
paraplegia;
internal fixation
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
From July 1997 to March 2000, internal fixation of posterior transpedicular screw system and posterolateral autograft bone graft fusion procedures were used in 25 patients suffering from Pott's paraplegia in our department. 17 of them were involved in a longitudinal study and followed up for a mean of 2(1 5～4)years postoperatively. The beginning of neurologic recovery was during the first 2 to 3 weeks postoperatively in 16 patients. 9 were completely recovered,7 were partly recovered 6 months postoperatively. At final follow up, 2 of the 7 patients were completely recovered, 5 had significant improvement of one grade(2 patients) or two (3 patients) according to ASIA Grades. It is concluded that internal fixation of posterior transpedicular screw system and posterolateral autograft bone graft fusion procedures were found to be helpful in strengthening the stability of the spine in spinal tuberculosis, providing successfu recovery of paraplegia and preventing the recurrence of paraplegia.
