【摘 要】
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Objective: The aim of this study is to determine the feasibility and efficacy of surgical management of single-segment lumbar spinal tuberculosis (TB) by using single-stage posterior transforaminal lu
【机 构】
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Xiangya Hospital of Central South University, Department of Spine Surgery, Changsha, People's Repub
【出 处】
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第三届全国脊柱结核诊疗新技术研讨会暨2017年湖南省医学会脊柱外科专业委员会年会
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Objective: The aim of this study is to determine the feasibility and efficacy of surgical management of single-segment lumbar spinal tuberculosis (TB) by using single-stage posterior transforaminal lum-bar interbody fusion,debridement,limited decompression,3-column reconstruction,and posterior instrumentation.Methods: Seventeen cases of single-segment lumbar TB were treated with single-stage posterior transforaminal lumbar interbody fusion,debridement,limited decompression,3-column reconstruc-tion,and posterior instrumentation.The mean follow-up was 36.9 months (range: 24-62 months).The kyphotic angle ranged from 15.2-35.1° preoperatively,with an average measurement of 27.8°.The American Spinal Injury Association (ASIA) score system was used to evaluate the neurological deficits and erythrocyte sedimentation rate (ESR) used to judge the activity of TB.Results: Spinal TB was completely cured in all 17 patients.There was no recurrent TB infection.The postoperative kyphotic angle was 6.6-10.2°,8.1° in average,and there was no significant loss of the correction at final follow-up.Solid fusion was achieved in all cases.Neurological condition in all patients was improved after surgery.Conclusion: Single-stage posterior transforaminal lumbar interbody fusion,debridement,limited de-compression,3-column reconstruction,and posterior instrumentation can be a feasible and effective method the in treatment of single-segment lumbar spinal TB.
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