APPLICATION OF INTRAVERTEBRAL PEDICLE FIXATION SYSTEM IN SURGICAL MANAGEMENT OF SPINAL TUBERCULOSIS
- VernacularTitle:椎弓根内固定系统在脊柱结核手术中的应用
- Author:
Lixin GUO
;
Xing CHEN
;
Yuanzhen MA
- Publication Type:Journal Article
- Keywords:
tuberculosis, spine;
focus debridement;
spinal fusion;
internal fixators
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Posterior transpedicle instrumental fixation and anterior arthrodesis were performed in 34 patients with spinal tuberculosis.Antituberculous chemotherapy was qiven for nine months postoperatively, and the surgical outcomes were followed up for three to five years.All the patients were cured and there was no recurrence two years after stopping chemotherapy.Tubercular kyphosis was 24?preoperatively and 9?postoperatively, and deformity correction was maintained during the follow up period.Interbody fusion was achieved in all the patients after surgery,four months for one segment fusion, six months for two segments fusion.It is concluded that posterior instrumental stabilization and anterior interbody fusion are helpful in providing rigid stabilization,correcting or preventing progression of kyphosis, and that transpedicle instrumental fixation can accelerate interbody fusion, shorten chemotherapy course and improve its cucative ratio.
