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[Radical debridement and single stage posterior spinal fusion and instrumentation for the treatment of thoracic-lumber tuberculosis]

OBJECTIVE: To evaluate the radical debridement and single stage posterior spinal fusion and instrumentation for the treatment of spinal tuberculosis. METHODS: From 1999 to 2004, 57 patients (29 males, 26 females) with spinal tuberculosis were operated at our department. The age range was 20 to 77 years old (mean: 39 years old). There were 30 cases of thoracic vertebra and 27 cases of lumbar vertebra. All the patients received a standard pre-operative 4 – 8-week anti-tuberculosis treatment. RESULTS: The follow-up period ranged from 1 – 4 years and 95.9% of patients achieved an excellent outcome. Solid bony fusion was seen at last in all cases. The mean post-operative kyphosis angle reduced to 20 degrees from 32 degrees pre-operation. CONCLUSION: Single stage anterior spinal fusion and instrumentation is curative for spinal tuberculosis

Keywords : Adult,Aged,Bone Transplantation,China,Debridement,Female,Fracture Fixation,Internal,Humans,instrumentation,Kyphosis,Lumbar Vertebrae,Male,methods,Middle Aged,pathology,Spinal Fusion,surgery,Thoracic Vertebrae,Treatment Outcome,Tuberculosis,Tuberculosis,Spinal,Young Adult,, Debridement,Single,Stage,Posterior, back specialist harley street

Date of Publication : 2009 Nov 10

Authors : Gu XF;Cheng L;Zhou YY;

Organisation : Department of Orthopedics, Wuxi Municipal People’s Hospital, Wuxi 214000, China. Email: guxiaofeng@medmail.com.cn

Journal of Publication : Zhonghua Yi Xue Za Zhi

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20137645

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