Summary of debridement,bone grafting and internal fixation after lesion catheterization chemotherapy in postoperative treatment of spinal tuberculosis

Objective Summary of debridement,bone grafting and internal fixation after lesion catheterization chemotherapy in postoperative treatment of spinal tuberculosis. Methods From October 2000 to November 2011,surgical treatment of spinal tuberculosis in 84 cases,located in 20 cases of thoracic vertebrae,thoracic and lumbar tuberculosis foci in 12 cases,34 cases of lumbar spine,lumbar sacral segment 18 cases,focus range 1 ~ 3 vertebral body,no skip lesions. Operation method: treatment,42 regular debridement,bone grafting and internal fixation at the same time focus tube. After operation,the formal resistance to isoniazid for tuberculosis while lying in bed in 0. 1+ rifamycin sodium chloride 0. 25+0. 9% 5ml infusion chemotherapy once a day,7 ~ 10 day extubation; 42 compared with the set of rows debridement,bone grafting and internal fixation. Bed 3 ~ 5 in both months,anti-TB drugs in treatment of 9 ~ 18 months,regular laboratory tests and imaging observation. Results Treatment group incision in patients with and without internal fixation with sinus tract formation,free for 6 months after breaking and loosening,X-ray film display fusion,tuberculosis cure all is better than the control group. Conclusion Thoroughly clear focus and bone graft in surgery spinal tuberculosis eradication of dead space,after internal rigid fixation for correction of deformity and reconstruction of spinal stability by catheterization chemotherapy lesion might be a safe and effective way.