[Increasing the efficiency of surgical treatment for disseminated spinal tuberculosis]

The authors present the results of radical reconstructive operations in 80 patients with complicated spinal tuberculosis, by taking into account the duration (1.5-2 and 3-4 months) of preoperative antibacterial therapy. The efficiency of a radical reconstructive operations in the early stage (following 1.5-2 months) of hospital treatment involving intensive antibacterial and pathogenetic therapies is shown. Regress of spinal disorders is comparatively higher in the patients operated on in the early period than in the late one of antibacterial therapy. A year after surgery, there was recovery and permanent abatement of a specific spinal process in 72.5% of cases; the recovery of the support ability of the vertebral column was stated in 91.3% of cases.