Debridement and bone grafting with internal fixation via anterior approach for the treatment of tuberculosis of lower cervical vertebrae.
10.12200/j.issn.1003-0034.2020.02.0121
- Author:
Qing-Peng SUN
1
;
Juan XIAO
1
;
Hong-Lin PI
1
;
Ji-Wen HE
1
;
Qun-Hai WU
1
Author Information
1. Department of Spinal Surgery, Xiangyang Hospital of Traditional Chinese Medicine Affiliated to Hubei University of Traditional Chinese Medicine, Xiangyang 441000, Hubei, China.
- Publication Type:Journal Article
- Keywords:
Bone grafting and fusion;
Cervical vertebrae;
Internal fixation;
Tuberculosis
- From:
China Journal of Orthopaedics and Traumatology
2020;33(2):149-153
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To evaluate the clinical effects of debridement and bone grafting with internal fixation via anterior approach in treatment of tuberculosis of lower cervical vertebrae.
METHODS:The clinical data of 15 patients with tuberculosis of lower cervical vertebrae who accepted the treatment of one-stage debridement and bone grafting with internal fixation from June 2010 to December 2018 were retrospectively analyzed. There were 9 males and 6 females, aged from 39 to 72 years with an average of (54.67±10.75) years. The lesion segment was C to C. Pre- and post-operative neurologic functions were evaluated by ASIA grade. All the patients underwent the X-ray films of positive and lateral of cervical spine before and after the operation and accepted the periodic review of CT to evaluate the bone grafting.
RESULTS:All the 15 operations were successful, no neurological or vascular injury occurred during the operation, and all patients were followed up for 18 to 52 months. The clinical symptoms improved significantly during the follow-up period and CT showed good bone grafting fusion. One patient suffered a relapse of the illness 3 years later, but was healed during the follow-up visit by strengthening the anti tuberculosis therapy.
CONCLUSION:For the patients with vertebral destruction and loss of cervical stability, one-stage debridement and bone grafting with internal fixation via anterior approach has definite curative effects. On the basis of standard anti tuberculosis treatment before operation, the long-term standard anti-tuberculosis treatment after operation is the key to healing the tuberculosis of lower cervical vertebrae.
