Lavrov V N, Abdulkhabirov M A
Probl Tuberk. 1991(9):45-8.
Analysis of treatment of 123 patients with disseminated forms of tuberculous spondylitis is presented. Among the patients 67 (54.4%) subjects were over 55 years of age. The main cause of disseminated spondylitis forms was ungroundlessly prolonged conservative treatment under bed regime. As a result, symptoms of low cardiac activity were seen in 79 (64.2%), lymphovenous stasis in 22 (17.8%) and osteoporotic signs in 38 (30.8%) patients. Complications and concurrent diseases in 41 (33.3%) of the cases prompted surgery from the posterior approach, in 82 (66.7%)--from the anterior approach with replacement of the defect by an autograft or biocompatible implant with extrafocal posterior fixation of the operated segments by Byzov's apparatus. The patients became active beginning on days 7-12 of postoperation, which promoted reparative process normalization in the operative area. The late therapeutic results were studied in 117 patients. Support capacity recovered in 99 patients and improved in 18. The method used is functionally justified, well tolerated by patients and highly effective in treating the abnormality.
本文介绍了对123例播散型结核性脊柱炎患者的治疗分析。其中67例（54.4%）患者年龄超过55岁。播散型脊柱炎形成的主要原因是在卧床状态下无端长期进行保守治疗。结果显示，79例（64.2%）患者出现心功能低下症状，22例（17.8%）出现淋巴静脉淤滞，38例（30.8%）出现骨质疏松体征。41例（33.3%）患者的并发症和并发疾病促使采用后路手术，82例（66.7%）采用前路手术，用自体移植物或生物相容性植入物替代缺损，并通过别佐夫器械对手术节段进行病灶外后路固定。患者术后第7至12天开始活动，这促进了手术区域修复过程的正常化。对117例患者的远期治疗结果进行了研究。99例患者的支撑能力恢复，18例有所改善。所采用的方法在功能上是合理的，患者耐受性良好，对治疗该异常情况非常有效。
