【摘 要】
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Purpose To evaluate the clinical study efficacy and feasi-bility of 17 aged patients with lumbo-sacral tuberculosis treated by one-stage posterior transforaminal lumbar debridement,interbody fusion,an
【机 构】
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Department of Spine Surgery, Xiangya Hospital of Central South University, Xiangya Road 87, ChangSha
【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 evaluate the clinical study efficacy and feasi-bility of 17 aged patients with lumbo-sacral tuberculosis treated by one-stage posterior transforaminal lumbar debridement,interbody fusion,and posterior instrumentation.Methods 17 aged patients who suffered from lumbo-sacral tuberculosis were admitted into our hospital between March 2003 and October 2010.All of them were treated by one-stage posterior transforaminal lumbar debridement,interbody fusion,and posterior instrumentation.Then the clinical efficacy with statistical analysis was evaluated based on the materials on the lumbo-sacral angle,neuro-logical status that was recorded by Frankel grade system,and erythrocyte sedimentation rate (ESR),which were collected at certain time.Results The average follow-up period was 47.5 ± 17.1 months (17-71 months),In the 17 cases,no postoperative complications related to instrumentation occurred and neu-rologic function was improved in various degrees.The mean preoperative lumbo-sacral angle was 20.5° ± 1.7° (range 18.0°-23.0°).The lumbo-sacral angle became 29.1 ° ± 1.5° (range 26.4°-31.0°) postoperatively.The average pretreat-ment ESR was 57.4 ± 16.8 mm/h (33-95 mm/h),which got normal (9.2 ± 3.1 mm/h) within 3 months in all patients.All patients got bony fusion within 6-8 months after surgery.Conclusions One-stage posterior transforaminal lumbar debridement,interbody fusion,and posterior instrumenta-tion can be an effective treatment method for the treatment of lumbo-sacral tuberculosis in the aged patients.
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