A lesion removed allogeneic bone transplantation in the treatment of thoracolumbar spinal tuberculosis.docVIP

 PAGE \* MERGEFORMAT 33 A lesion removed allogeneic bone transplantation in the treatment of thoracolumbar spinal tuberculosis Authors: Li Lijun, Tan Jun, Zhou Wei, Wei-Dong Zhao Abstract [Objective] To evaluate a lesion removed, allogeneic bone graft combined with anterior, and (or) posterior fixation for the treatment efficacy of spinal tuberculosis. [Methods] From January 2002 ~ October 2005, a total treatment of patients with multi-segmental spinal tuberculosis in 15 cases, of which eight cases of thoracic spinal tuberculosis, five cases of thoracolumbar tuberculosis, L2 the following two cases of spinal tuberculosis. By anterior debridement, allogeneic bone transplantation, thoracic and lumbar human application, the joint posterior fixation; while a simple application of thoracic spinal tuberculosis anterior single-rod fixation method. 8 cases in which post-surgery using minimally invasive methods (thoracoscopy, X  tube). [Results] 15 patients underwent postoperative regular anti-TB treatment, with an average follow-up of 25.4 months. All patients incision healed tuberculosis lesions ultimately bony fusion, the average kyphosis angle correction of 19.9 °; In addition to Level 1 cases FrankelB patients with no obvious neurological function tests to resume, the rest have varying degrees of recovery. [Conclusion] The spinal stability for the treatment of spinal tuberculosis has an important significance, internal fixation devices, bone allograft, as well as the appropriate surgical method can effectively improve the clinical efficacy, minimally invasive method to simplify the operation, to reduce intraoperative blood loss, it is worth promoting. Keywords: Spine; tuberculosis; internal fixation; bone graft In recent years, as population movements and the drug-resistant strains increases, the incidence of TB showed an upward trend year by year. 50% of bone and joint tuberculosis involving the spine, the symptoms are not typical,