One stage posterior lesion clearence combined with internal fixation for thoraco-lumbar spinal tuberculosis
Abstract：Objective To investigate the clinical effect of one stage posterior lesion clearence combined with posterior interveterbral supporting bone autograft and posterior pedical screw fixation in thoraco -lumbar spinal tubercu-losis.Methods Forty-six patients with thoraco-lumbar spinal tuberculosis were sellected from Jan 2003 to Jun 2010. All the patients were treated with one stage lesion clearence combined with intervertebral supporting bone autograft and posterior pedical screw fixation .Then the conditions of bone graft fusion and the effect of correction of kyphosis were analyzed.Results All 46 patients were followed up for one to three years with an average of 26 months.There was no loosening of the internal fixation , all bone grafts were healed and no lesion recurred;The time of healing was 3~7 months;The latest X-ray follow-up revealed the average Cobb′s angle was 16.5°compared to preoperative 35°. Conclusion The method of one-stage lesion clearence combined with intervertebral supporting bone autograft and posterior pedical screw fixation for the treatment of thoraco-lumbar spinal tuberculosis could not only completely clear the lesions but also correct the kyphosis effectively and reconstruct the stability of the vertebral column .
Keywords：Thoraco-lumbar spinal tuberculosisOne stage posterior lesion clearanceInternal fixation
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 887-890 )