Selection of the fusion and fixation range in the intervertebral surgery to correct thoracolumbar and lumbar tuberculosis: a retrospective clinical study

Abstract Background To compare the diseased verses non-diseased intervertebral surgery used in treatment of thoracolumbar and lumbar spinal tuberculosis to explore best choice fusion fixation range. Methods Two hundred twenty-one patients with were categorized into two groups. One eighteen underwent (lesion vertebral pedicle fixation, Group A) 103 (1 or 2 above below affected vertebra, group B). Spinal diagnosis was confirmed both groups before lesion removal, bone graft fusion, internal fixation. Clinical data efficacy surgical methods then evaluated. Results The mean follow-up duration for procedures 65 months (50–68 range). There no significant differences laboratory examinations, VAS scores, Cobb angle correction rate loss. However, existed operation time, blood loss, serosanguineous drainage volume, transfusion requirement between performed significantly better than all these areas. In cases, fused completely normal by last follow-up, occuring at 50–86 post surgery. Conclusion is a safe feasible option tuberculosis. It effectively restores physiological curvature spine reduces degeneration adjacent bodies column.