Ye Mao, Li Jun-qing, Zou Yi, Wang Jian-guo, Wang Kui, Zhou Di-sha
Department of Orthopaedics, the 302th Hospital of Anshun, Anshun 561000, Guizhou, China.
Zhongguo Gu Shang. 2009 Jan;22(1):23-5.
To evaluate the clinical effect of one stage anterior and posterior fusion and posterior fixation for the treatment of thoracic and lumbar spinal tuberculosis.
From March 2003 to December 2006, one stage anterior and posterior fusion and posterior fixation were performed to treat 23 patients who suffered thoracic and lumbar spinal tuberculosis. There were 15 males and 8 females with an average of 37.6 years (17-61 years). 4 cases' tuberculose focus were in thoracic vertebra, 8 cases in thoracolumbar, 11 cases in lumbar.
The average follow up period was 28.7 months (9-40 months). The symptoms of all patients had primarily relieved and the patients can ambulate at 2-3 weeks after treatment. At the 6th after operation, the X-ray showed interbody fusion. Frankel grading of 16 patients with incomplete paraplegia were improved averagely 1.62 grades. The major complications including 2 cases of temporary sinus formation, 1 case of fixtor breaking and 1 case of recurring (owing to an inadequate postoperative chemotherapy).
One stage anterior and posterior fusion and posterior fixation can effectually resect focus, rebuild stability of spine, promote interbody fusion and recovery of incomplete paraplegia in treating thoracic and lumbar spinal tuberculosis.
评估一期前后路融合及后路内固定治疗胸腰椎脊柱结核的临床疗效。
2003年3月至2006年12月，采用一期前后路融合及后路内固定治疗23例胸腰椎脊柱结核患者。其中男性15例，女性8例，平均年龄37.6岁（17 - 61岁）。胸椎结核4例，胸腰段结核8例，腰椎结核11例。
平均随访28.7个月（9 - 40个月）。所有患者症状基本缓解，术后2 - 3周可下地行走。术后6个月X线显示椎间融合。16例不全瘫患者Frankel分级平均提高1.62级。主要并发症包括2例切口延迟愈合，1例内固定断裂，1例复发（术后化疗不足）。
一期前后路融合及后路内固定治疗胸腰椎脊柱结核能有效清除病灶，重建脊柱稳定性，促进椎间融合及不全瘫恢复。
