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骨结核占全部结核病例的1%~2%,其中脊柱结核最为常见~([1])。由于儿童纤维化及终板软骨血管及淋巴管的存在,加上儿童椎前筋膜及骨膜与椎体相连疏松,儿童脊柱结核容易在不同节段间传播,易于在潜在腔隙扩散。所以,与成人相比,儿童脊柱结核累及节段常较多~([2])。此外,儿童脊柱结核容易产生畸形,出现神经损害症状。这主要茸儿童的生长特点有关,除了病变椎体即刻的骨质破坏造成畸形外,病变椎体的骨骺也遭到破坏或破坏不均匀,儿童脊柱在不断地生长中,脊柱的快速生长会加剧畸形的进展,大约39%的患
Bone tuberculosis accounts for 1% to 2% of all cases of tuberculosis, of which spinal tuberculosis is the most common ~ ([1]). Due to the presence of fibrosis and endplate cartilage vessels and lymphatic vessels in children, coupled with the loosening of the anterior vertebral fascia and periosteum in children, children with spinal tuberculosis easily spread between different segments and easily spread in the potential space. Therefore, compared with adults, pediatric patients with spinal tuberculosis often more segments ~ ([2]). In addition, spinal tuberculosis in children prone to deformities, symptoms of nerve damage. This is mainly related to the growth characteristics of children. In addition to the immediate destruction of the vertebral body resulting from deformity, the epiphysis of the diseased vertebral body is also destroyed or damaged unevenly. The rapid growth of the spine in the growing spine of the child is aggravated Deformity progresses, about 39% of patients