Abstract：Objective: To evaluate the clinical efficacy of anterior debridement，bone graft and posterior internal fixation in the treatment of thoracic lumbar spinal tuberculosis. Methods: Twenty patients，including 10 males and 10 females; after routine 2 to 4 weeks anti-tuberculosis chemotherapy，the patients were treated with anterior debridement，with iliac or rib bone graft and posterior internal fixation，continued anti-tuberculosis chemotherapy for one year after operation.Calculated the preoperation and postoperation kyphosis cobb angle（x± s）of the patients，analyze d the difference in statistics. Analyzed the preoperation and postoperation spinal cord and neurologic function in ASIA classification. Results: The postoperation follow up time was 10 months to 3 years，average 15 months.Recurrence of the disease in 1 patient.The average fusion time was 6（3-10）months. The complication was chronic sinus in 1 patient，fully recovered after sinus debridement.Analyzed the preoperation and postoperation kyphosis cobb angle（x± s） of the patients，the difference was significant in statistics（P <0.05）.All cases both acquired improvement in neurologic function. Conclusion: One stage anterior debridement，bone graft and posterior internal fixation in the treatment of thoracic lumbar spinal tuberculosis can get fully clearance completely，correction of the kyphosis deformity，improvement of the neurologic function.
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2012, Vol. 22 
