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A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

Published on: October 25, 2024

[Analysis of reasons failed focal debridement in 109 patients with spinal tuberculosis]

W Zhang¹, Q Wu, Y Lin

¹Beijing Tuberculosis and Thoracic Tumour Institute, Beijing 101149.

Zhonghua Jie He He Hu Xi Za Zhi = Zhonghua Jiehe He Huxi Zazhi = Chinese Journal of Tuberculosis and Respiratory Diseases

|March 27, 2001

Abstract

Objective:

To explore reasons failed focal debridement in treating spinal tuberculosis patients and methods to cope with them.

Method:

One hundred nine patients with spinal tuberculosis who failed initial focal debridement from 1987 to 1996 were reviewed.

Result:

The reasons of operational failure were found to be the use of unreasonable regimens and existence of drug resistant strains; inappropriate operational indication, approach and treatment during operation; lesions involving several vertebrae, skipping destruction and complicating with other kinds of extrapulmonary tuberculosis.

Conclusion:

The key to successful treatment of the disease is to choose appropriate operative indication and approach, discard spinal cord pressure and rebuild spinal stability on the basis of reasonable chemotherapy regimen.

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