Clinical analysis of anterior chest approach debridement titanium mesh bone graft single screw/nail plate system internal fixation in patients with tuberculosis of thoracic vertebra / 中国医师进修杂志

ABSTRACT

Objective To explore the clinical effect of anterior chest approach debridement titanium mesh bone graft single screw/nail plate system internal fixation in patients with tuberculosis of thoracic vertebra. Methods The clinical data of 30 patients with tuberculosis of thoracic vertebra were retrospectively analyzed. According to the lesion sites, and the patients were treated by anterior chest approach debridement titanium mesh bone graft single screw/nail plate system internal fixation. The patients were given regular anti-tuberculosis treatment before operation, and began bed exercise with internal fixation after operation as soon as possible. Results The patients were followed up for 3- 24 (12.3 ± 2.0) months. All the incisions were primary healing. The average length of the deformity was 22° after correction. No sinus and tuberculosis spread occurred. Titanium mesh with bone graft was stable. There was no significant shift and collapse, no internal fixation loosening and fracture. Conclusions Anterior chest approach debridement titanium mesh bone graft single screw/nail plate system internal fixation in patients with tuberculosis of thoracic vertebra can completely remove the lesion, significantly lower spinal cord pressure, correct kyphosis better, and reconstruct the spinal stability early. With the regular anti-tuberculosis treatment, the clinical effect can be significantly improved.