单纯后路病灶清除固定与单纯前路手术治疗腰椎结核临床病例分析.pdfVIP

Hans Journal of Surgery 外科, 2018, 7(1), 19-25 Published Online January 2018 in Hans. /journal/hjs /10.12677/hjs.2018.71003 Analysis of Clinical Cases for Treating Lumbar Tuberculosis with Lesion Clearing through Only Posterior and Anterior Approach * Pingrong Zhang , Jing Reng, Rong Sun, Xiaorong Xie The First People’s Hospital of Qujing City, Luliang Yunnan th th th Received: Dec. 25 , 2017; accepted: Jan. 11 , 2018; published: Jan. 30 , 2018 Abstract Objective: Analysis of clinical cases for treating lumbar tuberculosis with lesion clearing through only posterior and anterior approach. Methods: To analyze 16 patients suffered from spinal tu- berculosis retrospectively, patients being treated with surgery in The First People’s Hospital of Qujing city Yunnan province from October 2011 to February 2016 were divided into two goups on average. Treatment group were treated with lesion clearing through only posterior while control group with only anterior approach. Two groups of patients with spinal stability significantly dam- aged have no statistically significant difference about gender, age, course of the disease, patholog- ical changes section and complications (P 0.05). Result: The average Cobbs Angle on the sagittal plane of Treatment group is 35.6˚ and the correct rate is 76.8%; while that of Control group is 20.8˚ and the correct rate is 52.6%. The treatment group has gotten a high correction rate than control group (P 0.05). The average operation time and average blood loss of treatment group is obviously shorten than the control group (P 0.05); osseous