Journal of Hebei Medical University

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Treatingpatientswithlumbartuberculosisbykeepingscleroticboneuniformlydrilledjoint#br# withimplantingallograftiliacboneforinterbodyfusion

  

  1. 1. DepartmentofOrthopedics , theChestHospitalofHebeiProvince , Shijiazhuang 050041 , China ;
    2. UndergraduateClass 1 , theSchoolofBasicMedicalSciences , HebeiUniversity ,
    Baoding 071000 , China
  • Online:2016-02-25 Published:2016-04-27

Abstract: Toinvestigatethevalueoftreatingpatientswithlumbartuberculosis
bykeepingscleroticboneuniformlydrilledjointwithimplantingallograftiliacboneforinterbody
fusion.Methods Therewere47patientswithlumbartuberculosisinthisretrospectivestudywho
weretreatedbysurgeryofkeepingscleroticboneuniformlydrilledjointwithimplantingallograft
iliacboneforinterbodyfusion.Results Postoperativefollow-upwere16-24 months.Forty-
sevenpatientswithlumbartuberculosiswereallcured.Thebonyfusiontimeof47patientswas6
monthsto12months.Inaccordancewiththestandardofbonefusion , theresultswereexcellent
in37cases , goodin8cases , fairin2cases , andpoorin0case.Kyphosisin25caseswithCobb
anglehavebeenfound , 2weeksafterthesurgeryandthefinalfollow-up , thekyphoticdeformity
werecorrected , andthe difference wasstatistically significant ( P <0.01 ) .The patients'
neurologicalfunctionswereelevatedinvaryingdegrees.TheFrankelgradingshowedthat : 1case
wasrecoveredfromgradeAtogradeC , 1casewasrecoveredfromgradeCtogradeE , 1case
wasrecoveredfromgradeCtogradeD , and3caseswererecoveredfromgradeDtogradeE.
Conclusion Goodsurgicaloutcomeshavebeenfoundinthisstudyandthetechniquethattreating
patients with lumbartuberculosis by keeping sclerotic bone uniformly drilledjoint with
implantingallograftiliacboneforinterbodyfusioncouldbeappliedfurtherintheclinicaltrial.

Key words: tuberculosis, spinal , transplantation, homologous , treatmentoutcome