Khvisiuk N I, Golka G G
Probl Tuberk Bolezn Legk. 2003(8):19-22.
Some experience in treating 144 patients with tuberculous spondylitis is presented. The cervical, thoracic, and lumbar parts of the spine were affected in 12, 83, and 49 patients, respectively. Medical and surgical treatment was performed in 82 (57%) and 62 (43%) patients, respectively. The medical treatment included the use of antituberculous drugs, pathogenetic exposures, and an orthopedic regimen. The surgical treatment was a stage of multimodality therapy in 62 patients and it involved the radical elimination of a specific inflammation focus, followed by bone defect replacement and vertebral ceramic implant stabilization. The long-term results were studied in the periods of 2 to 10 years. All the patients were found to have a formed osseous block: exacerbations and recurrences being absent.
本文介绍了治疗144例结核性脊柱炎患者的经验。颈椎、胸椎和腰椎受累患者分别为12例、83例和49例。分别有82例(57%)和62例(43%)患者接受了药物和手术治疗。药物治疗包括使用抗结核药物、病因治疗和矫形方案。手术治疗是62例患者多模式治疗的一个阶段,包括彻底清除特定炎症病灶,随后进行骨缺损修复和椎体陶瓷植入物固定。对2至10年期间的长期结果进行了研究。所有患者均形成了骨性融合块,无病情加重和复发情况。