Posterior transpedicular screw system internal fixation and anterior radical focus debridement with interbody autografting in the treatment of lumbar and sacrum spinal tuberculosis with kyphosis deformity
- VernacularTitle:一期后路椎弓根内固定前路病灶清除植骨治疗腰骶段脊柱结核并后凸畸形
- Author:
Yunsheng OU
- Publication Type:Journal Article
- Keywords:
Spinal tuberculosis;
Lumbar and sacrum;
Spinal fusion;
Bone transplantation;
Internal fixation
- From:
Journal of Chongqing Medical University
1987;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical efficacy of posterior transpedicular screw system internal fixation and anterior radical focus debridement with interbody autografting in the treatment of low lumbar and sacrum spinal tuberculosis with kyphosis deformity.Methods:There were 17 cases of low lumbar and sacrum spinal tuberculosis with kyphosis deformity in this series,including 1 case of L3,4 cases of L4,3 cases of L5,3 cases of L3~4,4 cases of L4~5 and 2 cases of L5S1.The mean age was 37 years.All cases received posterior transpedicular screw system internal fixation,anterior radical focus debridement and autografting with iliac bone.Bed rest was for 8 weeks after surgery and no brace was needed.Anti-tuberculosis treatment lasted 12~18 months.Results:The mean period follow-up was 23 months.All patients achieved satisfactory results,and showed successful interboby fusion within 3~6 months.The kyphosis deformity was corrected and the normal low lumbar and sacrum lordosis were maintained without associated complication.All patients had no focus recurrence of tuberculosis.There were no internal implant complications.Conclusion:It is a safe and effective method to treat low lumbar and sacrum spinal tuberculosis with kyphosis deformity by posterior transpedicular screw system internal fixation and anterior radical focus debridement with iliac bone grafting.
