Simple posterior debridement, bone grafting and internal fixation for Brucellar spondylitis in lumbar vertebrae
CHEN Cao
WU Bing
SHENG Wen-hui
WANG Chun-hui
Abstract：Objective To evaluate the clinical efficacy of simple posterior debridement, bone grafting and internal fixation for Brucellar spondylitis in the lumbar vertebrae. Methods Clinical data of 27 cases ( 21 males and 6 females ) of Brucellar spondylitis in the lumbar vertebrae ( treated with simple posterior debridement, bone grafting and internal fixation from January 2012 to Auguest 2014 ) were analyzed retrospectively. The mean age was 55 years ( range: 24 - 77 years ). The mean course was 9 months ( range: 3 - 18 months ). Visual analog scale ( VAS ), Japanese Orthopaedic Associations ( JOA ), X-ray and MRI before and after the surgery were reviewed and compared to evaluate the operation effects. Results All patients were followed up, 13 months averagely. All cases got bony fusion. No recurrence existed. The average VAS score preoperatively was ( 8.6 ± 0.4 ) points, in the first follow-up ( 3.4 ± 0.7 ) points, in the second follow-up ( 2.1 ± 0.2 ) points, and in the final follow-up ( 1.7 ± 0.4 ). The average JOA score preoperatively was ( 7.4 ± 0.4 ) points, in the first follow-up ( 11.2 ± 0.6 ) points, in the second follow-up ( 14.4 ± 0.2 ) points, and in the final follow-up ( 15.2 ± 0.4 ). Postoperative results were significantly improved with statistical significance ( P < 0.05 ). Conclusions Simple posterior debridement, bone grafting and internal fixation for Brucellar spondylitis in the lumbar vertebrae can achieve effective debridement and the reconstruction of spinal stability.
Keywords：Lumbar vertebraeBrucellar spondylitisRadical debridementSpinal fusion
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 465-468 )