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首页> 外文期刊>British journal of neurosurgery >Uninstrumented ventral surgery for subaxial cervical spine tuberculosis: clinical and radiological outcome.
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Uninstrumented ventral surgery for subaxial cervical spine tuberculosis: clinical and radiological outcome.

机译：亚轴颈椎结核的非器械腹部手术：临床和影像学结果。

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摘要

The clinical and radiological outcomes in 14 patients with subaxial cervical spine tuberculosis following uninstrumented anterior decompression surgery and medical treatment were retrospectively reviewed. All the patients underwent an anterior decompression with bone graft followed by immediate mobilization or a period of bed rest for 4 to 6 weeks. The clinical status and whole spine curvature of the cervical spine were assessed preoperatively and at follow up. There was an improvement in the Nurick's grade from a preoperative mean of 2.4 (range 0 - 5) to 1.2 (range 0 - 4) at follow up (p = 0.004). The whole spine curvature showed an improvement in 5 patients, was maintained in 6 patients and showed a kyphotic change in 1 of the 12 patients at follow up. There was evidence of good bony fusion in 12 of the 14 patients for whom data were available at follow up. Anterior decompression with autologous iliac bone graft led to a good clinical and radiological outcome in patients with subaxial cervical spine tuberculosis.
机译：回顾性地回顾了14例未进行器械前路减压手术和药物治疗的亚轴颈椎结核患者的临床和影像学结局。所有患者均接受前路减压植骨术，随后立即动员或卧床休息4至6周。术前和随访时评估颈椎的临床状况和整个脊柱弯曲度。随访时，Nurick评分从术前平均值2.4（0-5）提高到1.2（0-4）（p = 0.004）。脊柱全曲度改善5例，维持6例，随访12例中有1例发生脊柱后凸变化。有14位患者中的12位有良好的骨融合证据，这些患者在随访中均可获得数据。自体骨移植前减压在亚轴颈椎结核患者中取得了良好的临床和影像学结果。

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