Related factors and research progress of kyphosis of spinal tuberculosis
10.3760/cma.j.cn115396-20200614-00196
- VernacularTitle:脊柱结核后凸畸形发生的相关因素及研究进展
- Author:
Qingda LI
;
Changjun HE
;
Mingyi YANG
;
Junsong YANG
;
Chao JIANG
;
Xin TIAN
;
Wangli HUANG
;
Tuanjiang LIU
;
Dingjun HAO
- From:
International Journal of Surgery
2021;48(1):62-67,F4
- CountryChina
- Language:Chinese
-
Abstract:
Spinal tuberculosis is one of the common causes of severe kyphosis. The formation of spinal tuberculosis kyphosis is multi-factors, including age at the time of infection, the cumulative number of segments, the height of vertebral body loss before treatment, and "spine danger signs" . Although the use of anti-tuberculosis drugs has achieved good results, for patients with spinal tuberculosis cured by drug treatment, the kyphosis will continue to progress and gradually develop into a severe kyphosis. Then there are a series of problems such as appearance, psychology, rib-pelvic impingement, cardiopulmonary dysfunction, and nerve and spinal cord compression. The X-ray signs of the height of the vertebral body loss and "spine danger signs" before treatment can help predict the severity of future deformities. Therefore, a comprehensive understanding of the formation of kyphosis of spinal tuberculosis and individualized selection of surgical methods according to the specific conditions of the disease as soon as possible can effectively prevent the formation of kyphosis and reduce the incidence of neurological damage and delayed paralysis.
