Operational Effects Of 39 Cases Active Thoracic Vertebrae, Lumbar Vertebrae Tuberculosis With Paraplegia

Objectives: to predict the clinical effects of active spinal tuberculosis with paraplegic (A type Pott's paraplegic) patients that were reviewed retrospectively after being treated with anterior/posterior decompressive surgery and chemotherapy and/or internal fixation. Methods: Department of Orthopedic Surgery the first affiliated hospital of xinjiang medical university from 2002 to 2004. In this study, there were 39 patients (twenty male and nineteen female), ranging from 3 to 74 years age. (average, 38.7 years) They developed spinal tuberculosis at the age of two years (range, 3 months to twelve years), at lesion level of T2-L5, including lesion stage: one stage has two cases; two stages have twenty cases; three stages have four cases; four stages have eight cases; five stages have four cases; eight stages have one case. There six patients suffered entirely paraplegia. All patients had triple chemotherapy for two weeks to six months. The fellow-up was ranged from 16 to 41 months, average 27.6 months. Results: All patients were healed, thoracic vertebra kyphos obviously became little. The forty degrees of kyphosis angle had existed before operation, after operation nineteen degrees of kyphlosis correction was achieved. There was no significant progression of kyphosis. At the final follow up,all of the results showed successful inter-body fusion. Among 33 cases incomplete paraplegia improved 1.33...