Zhang Hong-Qi, Wang Yu-Xiang, Guo Chao-Feng, Zhao Di, Deng Ang, Wu Jian-Huang, Liu Jin-Yang
Department of Spine Surgery, Xiangya Spinal Surgery Center, Xiangya Hospital of Central South University, Changsha, China.
Childs Nerv Syst. 2011 May;27(5):735-42. doi: 10.1007/s00381-010-1319-3. Epub 2010 Nov 6.
To determine the efficacy and feasibility of surgical management of cervicothoracic tuberculosis accompanied by kyphosis in children by using one-stage posterior focus debridement, bone graft fusion, and instrumentation at a single institution.
Ten consecutive cases with cervicothoracic tuberculosis with kyphosis were treated with one-stage posterior focus debridement, bone graft fusion, and instrumentation. The mean follow-up was 36 months (range 26-47 months). The kyphotic angle ranged from 35° to 62° before operation, 50.5° in average. The American Spinal Injury Association score system was used to evaluate the neurological deficits.
Spinal tuberculosis was completely cured in all ten patients. There was no recurrent tuberculous infection. The postoperative kyphotic angle was 10° to 22°, 17.5° in average, and there was no significant loss of the correction at the latest follow-up. Solid fusion was achieved in all cases. Neurological condition in all patients was improved after surgery.
One-stage posterior debridement, bone grafting, and instrumentation can be an effective treatment method of cervicothoracic spinal tuberculosis with kyphosis in children.
在单一机构中，通过一期后路病灶清除、植骨融合及内固定术，确定手术治疗儿童颈胸段结核伴后凸畸形的疗效及可行性。
对10例连续的颈胸段结核伴后凸畸形患儿采用一期后路病灶清除、植骨融合及内固定术治疗。平均随访36个月（范围26 - 47个月）。术前后凸角为35°至62°，平均50.5°。采用美国脊髓损伤协会评分系统评估神经功能缺损情况。
10例患者的脊柱结核均完全治愈。无结核复发感染。术后后凸角为10°至22°，平均17.5°，在最近一次随访时矫正度无明显丢失。所有病例均实现了牢固融合。所有患者术后神经功能均有改善。
一期后路病灶清除、植骨及内固定术可成为治疗儿童颈胸段脊柱结核伴后凸畸形的有效方法。
