【摘 要】
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Purpose To investigate the clinical efficacy and feasi-bility of surgical treatment for lumbosacral junction tu-berculosis by one-stage posterior debridement,interbody fusion,lumbopelvic fixation,and
【机 构】
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Department of Spine Surgery, The Xiangya Hospital of Central-South University, Changsha 410008, Huna
【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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Purpose To investigate the clinical efficacy and feasi-bility of surgical treatment for lumbosacral junction tu-berculosis by one-stage posterior debridement,interbody fusion,lumbopelvic fixation,and postural drainage.Methods A total of 15 cases with lumbosacral junction tuberculosis treated by one-stage posterior debridement,interbody fusion,lumbopelvic fixation,and postural drai-nage in our center from January 2005 to October 2011 were studied.Lumbosacral angle,visual analog scale (VAS),and neurological performance were assessed before and after surgery.Results All patients were followed for 28-56 months post-operation (average,40.7 ± 7.7 months).No severe compli-cations occurred.Bone fusion occurred in all patients at a mean of 8.4 months (range 6-12 months) after surgery.The mean lumbosacral angle was significantly increased from the mean preoperative angle (20.9° ± 1.8°) both post-operatively (26.5° ± 1.6°) and at final follow-up (25.3° ± 1.4°) (both P < 0.05).All patients had significant post-operative im-provement in neurological performance and VAS scores.Conclusions Our results suggest that one-stage posterior debridement,interbody fusion,lumbopelvic fixation,and postural drainage can be an effective and feasible treatment option for lumbosacral junction tuberculosis,offering fewer complications and a better quality of life.
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