One-stage surgical treatment for thoracic and lumbar Spinal tuberculosis by transpedicular fixation, debridement, and combined interbody and posterior fusion via a posterior-only approach.

摘要: This study examined the clinical outcomes of one-stage surgical treatment for patients with spinal tuberculosis via a posterior-only approach. Twenty-four thoracic or lumbar whose lesions were confined to adjacent segments admitted our hospital and treated. The American Spinal Injury Association (ASIA) impairment scale was used assess neurological function. All treated efficacy evaluated by Japanese Orthopaedic (JOA) scores oswestry disability index (ODI) nerve Patients preoperatively postoperatively measurement deformity using Cobb angle radiological examination. followed up 13 27 months. They had significantly postoperative improvement in JOA score, ODI ASIA classification scores. kyphotic angles corrected maintained at final follow-up. Bone fusion achieved within 4-12 It concluded that approach is effective feasible tuberculosis.