NHẬN XÉT KẾT QUẢ PHẪU THUẬT CỐ ĐỊNH LỐI SAU VÀ GIẢI ÉP LỐI TRƯỚC TRONG 2 LẦN MỔ ĐIỀU TRỊ LAO CỘT SỐNG NGỰC, THẮT LƯNG TẠI BỆNH VIỆN PHỔI TRUNG ƯƠNG

Abstract

pinal tuberculosis is a serious illness that can result in disability or death if not treated appropriately. At present, research indicates that posterior spinal fixation combined with anterior nerve decompression are the most efficient and comprehensive treatments for patients. Objective: To assess the outcomes of posterior spinal fixation and anterior decompression performed across two separate surgical instances for treating thoracic and lumbar spinal tuberculosis at the National Lung Hospital between October 1, 2022, and October 1, 2024. Method: Retrospective and prospective descriptive clinical study. Results: Patients demonstrated considerable improvement, experiencing a notable decrease in spinal pain. the average VAS score at the time of follow-up examination was 0.73 ± 0.9 points. All patients experienced varying degrees of recovery from paralysis. The patients in the study group did not have any instances of A or B paralysis. The average motor score at the time of follow-up examination was 92.0 ± 4.7 points in the thoracic and thoracic-lumbar junction tuberculosis group; and 97.6 ± 2.5 points in the lumbar spine tuberculosis group. The average kyphotic angle at the time of follow-up examination was 7.20 ± 3.60 in the thoracic and thoracic-lumbar junction tuberculosis group; and -2.30 ± 2.70 in the lumbar spine tuberculosis group. Macnab surgical results: 75 patients (78.1%) had very good results; 16 patients (16.7%) had good results; and 5 patients (5.2%) had average results. No patients had poor results. Conclusion: The combination of posterior fixation and anterior decompression performed in two separate surgical sessions for thoracic and lumbar spinal tuberculosis is a safe and effective strategy, enabling patients to attain full recovery and return to their everyday work and life activities.