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《Chinese Journal of Bone and Joint Injury》 2007-12
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The Surgical Treatment of Spinal Tuberculosis Featured with Intervertebral Disk Necrosis and Protrusion

Zhen Ping,Liu Xingyan,Li Xusheng,et al.Department of Orthopedics,General Hospital of PLA,Lanzhou,730050  
Objective To study the mechanism and the clinic characteristics of intervertebral disk tuberculosis of spine in thoraciclumbar and lumbar region.Methods A total of 22 patients with serious spinal cord compression from intervertebral tuberculosis in thoraciclumbar and lumbar region were treated by one-stage debridement,iliac grafting and internal fixation.The clinical characters were retrospectively analyzed.Results All these patients had no sinus formation and no recurrence of spinal tuberculosis during the follow-up period.In 6 patients with incomplete paraplegia,1 grade improved in 4 patients,2 grades improved in one patient and 1 patient had no change.Conclusion The serious spinal cord compression from intervertebral tuberculosis results from the direct mechanical compression and inflammation of tuberculosis.As the spinal cord is in crisis condition,the early one-stage treatment of debridement,iliac grafting and internal fixation can guarantee the recovery of the spinal cord and spine stability.
【CateGory Index】: R687
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