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[Anterior vertebrectomy and plating for spinal tuberculosis].
Suiliang Gong1, Rongming Xu, Jiaping Dai
1Department of Orthopaedic Surgery, Jiaxing Second Hospital, Jiaxing, Zhejiang 314000, China.
Summary
Anterior vertebrectomy with bone grafting and plating effectively treats spinal tuberculosis, achieving solid bone fusion and deformity correction in all patients. This surgical approach offers a high cure rate and enables early patient rehabilitation.
Area of Science:
- Spinal surgery
- Infectious disease treatment
- Orthopedic procedures
Context:
- Spinal tuberculosis presents a significant challenge in orthopedic surgery.
- Effective treatment requires addressing the infection, decompressing neural structures, and restoring spinal stability.
- Traditional methods may have limitations in achieving complete lesion removal and stable fusion.
Purpose:
- To evaluate the efficacy of anterior vertebrectomy, bone grafting, and plating in treating spinal tuberculosis.
- To assess outcomes including bone fusion rates, deformity correction, and lesion resolution.
- To determine the procedure's impact on spinal stability and patient recovery.
Summary:
- A study involving 12 patients with spinal tuberculosis utilized anterior vertebrectomy, bone grafting, and plating.
- All patients achieved complete cure and solid bone fusion within an average of 10 months.
- Average bone fusion time was 5.8 months, with an average kyphosis correction of 16 degrees.
Impact:
- Anterior plating post-vertebrectomy and bone grafting facilitates complete lesion removal and spinal canal decompression.
- This technique reconstructs spinal stability, promoting early rehabilitation.
- The procedure demonstrates potential for an increased overall curative rate in spinal tuberculosis management.
