The Duchess of Kent Children's Hospital at Sandy Bay and Department of Orthopaedic Surgery, University of Hong Kong, Hong Kong.
Eur Spine J. 1993 Mar;1(4):231-5. doi: 10.1007/BF00298365.
We reviewed 80 children (39 male, 41 female) with tuberculosis of the spine, all of whom were subjects of the Medical Research Council Working Party's study in Hong Kong. Forty-seven children were treated with radical surgery and the remaining 33 with débridement surgery. The mean ages at operation for radical surgery and débridement were 7.6 and 5.1 years respectively, and the mean post-operative follow-up was 15.3 and 19.7 years respectively. The clinical and radiological data obtained pre-operatively, 6 months, 1 year and 5 years post-operatively, and at final follow-up were analysed. Neither patients treated with radical nor those treated with débridement surgery had pain or neurological deficit at final follow-up. In the radical surgery group, there was a reduction of the angles of kyphosis and deformity following surgery, which was maintained throughout subsequent follow-up years. However, in the débridement surgical group, there was an increase in the angles of kyphosis and deformity following surgery, which showed a tendency to spontaneous correction in the long term. In this study we did not observe any progressive kyphosis in either group.
我们回顾了 80 例患有脊柱结核的儿童（39 名男性，41 名女性），他们均为香港医学研究委员会工作组研究的对象。47 例患儿接受根治性手术治疗，其余 33 例接受清创术治疗。根治性手术和清创术的平均手术年龄分别为 7.6 岁和 5.1 岁，平均术后随访时间分别为 15.3 年和 19.7 年。分析了术前、术后 6 个月、1 年和 5 年以及末次随访时获得的临床和影像学数据。根治性手术组和清创术组的患儿在末次随访时均无疼痛或神经功能缺损。在根治性手术组中，术后脊柱后凸畸形和角度减小，随后的随访中均得到维持。然而，在清创手术组中，术后脊柱后凸畸形和角度增加，长期来看有自发矫正的趋势。在本研究中，我们在两组中均未观察到进行性后凸。
