Table 1.
Summary of clinical data obtained in the 53 patients with lumbosacral spinal tuberculosis.
Table 2.
Neurologic recovery according to Frankel scoring system.
Fig 1.
A 31-year-old man with lumbosacral spinal tuberculosis received conservative anti-TB therapy.
(A,B)Pretreatment MRI shown destruction of vertebrae and paravertebral abscess with concomitant compression of the spinal cord.(C,D) Radiography taken at 15 months of follow-up showed no recurrence of tuberculosis.
Table 3.
Recorded data and analysis of treatment.
Table 4.
Intraoperative and Postoperative complications.
Fig 2.
A 28-year-old man with lumbosacral spinal tuberculosis underwent anterior debridement, decompression combined with posterior plate fixation.
(A,B)Pretreatment MRI shown destruction of the L4–S1 vertebrae and paravertebral abscess with concomitant compression of the spinal cord.(C) Immediate postoperative radiographs demonstrating anterolateral debridement, bone graft and internal fixation. (D,E) At 22 months’ follow-up, plain X-ray showed maintenance of the correction and solid fusion.
Fig 3.
A 56-year-old woman with lumbosacral spinal tuberculosis received conservative anti-TB therapy.
(A)Pretreatment MRI showed destruction of the L4–L5 vertebrae and formation of paravertebral abscess with concomitant compression of the spinal cord. (B) After 6-week anti-TB therapy, the back pain became more serious. (C,D) No recurrence of TB was noted in this patient during the follow-up period.