Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (1): 33-36 DOI: 10.16260/j.cnki.1009-2188.2018.01.009 |
| Clinical Research |
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| Comparison of the Effects of One-stage Combination of the Anterior and Posterior Approaches with SimpleAnterior Fixation in the Treatment of Lumbar Tuberculosis |
| ZHOU Jian-hua1,ZHANG Hao1，CHEN Shao-chu1，ZHANG Xian1，HU Ya-wei1,JIAN Xin-min1,LU Xue-you1,LUO Zhuo-jing2,HUANG Jing-hui2
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| 1.Department?of?Spine?Surgery,People's?Hospital?of?Longhua?District?of?Shenzhen,Shenzhen?518109,Guangdong，China； 2.Department?of?Spine?Surgery，Xijing?Hospital，Xi'an?710032,Shaanxi,China |
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Abstract Objective?To compare the clinical effects of the one-stage combined anterior and posterior approach with the simple anterior approach in the treatment of lumbar tuberculosis.Methods?Retrospective analysis wasdone in 92 patients with lumbar tuberculosis who underwent bone grafting and internal fixation from September,2008 to September,2013.Among them,there were 46 cases of group A received the combined anterior and posterior approach with internal fixation.And there were 46 cases of group B underwent a simple anterior fixation.All patients were routinely treated with standard anti-TBdrugs for 3 weeks before operation.Results?In group A,the value of operation time,intraoperative blood loss,postoperativehospital stay,the usedays of antibiotic,operation areadrainage volume,the incidence of complications,and fusion time was (315.5±30.4)ml,(607.0±104.3)ml,(14.0±1.7)d,(7.3±1.3)d,(230.5±23.4)ml,6.52% and (6.1±1.3) months respectively,which washigher than that of group B [(240.7±35.7)min,(319.3±88.2)ml,(10.0±2.1)d,(4.6±2.1)d,(168.7±25.1)ml,2.17% and (5.8±2.3) months] except for the complication rate and fusion time (P<0.001).The rate of kyphotic correction was 71.0%±4.3% in group A,which washigher than 52.0%±3.6% of group B (P<0.001).The Cobb angle of group A were less than group B at the last follow-up (P<0.001).After 3.5 years follow-up,the cure rate of group A was 93.7%,which was notdifferent of 88.6% of group B (P>0.05).Conclusion?Itdemonstrates that the one-stage combined anterior and posterior approach provides better local clearace,higher correction rate of malformation and better spinal stability.
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Published: 13 August 2018
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Corresponding Authors:
ZHANG Hao
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