The role of posterior instrumentation and fusion after anterior radical debridement and fusion in the surgical treatment of spinal tuberculosis: experience of 127 cases.

摘要: Long periods of immobilization, progressive kyphosis and graft failure are the major postoperative problems encountered after anterior radical surgical treatment for tuberculosis spine. Posterior fusion instrumentation can be an effective solution these problems. Effectiveness posterior was investigated in this study on basis cases with procedure only, combined anterior-posterior procedures. One hundred twenty-seven spine were surgically treated between 1987 1995. All had either 1 or more conditions such as spinal cord compression neurological deficit, vertebral body collapse kyphosis, wide paravertebral abscess unresponsive to medical treatment. Of these, 57 only years 1993. Seventy 1991 In about two third patients (81) autogenous iliac strut one them (40) fibular (cases than 2 level involvement) used along rib grafts debridement. Twenty-one who demonstrated a increase 10 degrees. Increased due slippage 3, resorption subsidence 16 patients. No noted procedure. The difference terms found statistically significant (P=0.047). Anterior debridement is golden standard tuberculosis, but it should always accompanied by shorten immobilization period hospital stay, obtain good long lasting correction prevent further failure.