EVALUATION OF THE RISK OF INSTRUMENTATION AS A FOREIGN-BODY IN SPINAL TUBERCULOSIS - CLINICAL AND BIOLOGIC STUDY

被引：204

作者：

OGA, M

ARIZONO, T

TAKASITA, M

SUGIOKA, Y

机构：

[1] Department of Orthopaedic Surgery, Faculty of Medicine, Kyushu University

[2] Department of Orthopaedic Surgery, Faculty of Medicine, Kyushu University, Fukuoka, 812

来源：

SPINE | 1993年 / 18卷 / 13期

关键词：

SPINAL TUBERCULOSIS; INSTRUMENTATION; FOREIGN BODY INFECTION;

D O I：

10.1097/00007632-199310000-00028

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The risk of persistence and recurrence of infection in posterior spinal instrumentation surgery for spinal tuberculosis was studied clinically and microbiologically. Eleven patients with thoracic, thoracolumbar, and lumbar spinal tuberculosis treated by debridement, anterior fusion, and combined posterior instrumentation surgery were analyzed. Seven patients had tuberculosis in both anterior and posterior spinal elements. There were no cases of persistence or recurrence of infection after surgery, and instrumentation provided immediate stability and protected against development of kyphotic deformity. The adherence properties of Mycobacterium tuberculosis to stainless steel (SUS 316) was evaluated experimentally. The results showed that posterior instrumentation surgery was not a hazard to spinal tuberculosis infection when combined with radical debridement and intensive anti-tuberculosis chemotherapy.

引用

页码：1890 / 1894

页数：5

共 17 条

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