Comparison of efficacy between two kinds of surgical methods in treatment of children with spinal tuberculosis

Abstract

Objective To compare the clinical effects between simple debridement and debridement and interbody fusion and internal fixation for the treatment of children with spinal tuberculosis. Methods 120 cases of children with spinal tuberculosis, were divided into control group(n=60) and observation group(n=60) according to surgical treatment.The control group was administrated with conventional simple debridement treatment, the observation group was administrated with debridement and interbody fusion and internal fixation, the efficacy and quality of life level of two groups of children were compared after treatment. Results The total effective rate of the observation group was 93.3%, which was significantly higher than 73.3% of the control group(χ2=7.69, P<0.01); The blood loss, operative time, postoperative complication rate of the observation group were (83.47±16.35)mL, (35.38±12.34)min and 6.7%, respectively; which in the control group were (165.12±22.31)mL, (62.15±21.63)min and 21.7% respectively, the difference were statistically significant(t=19.95, 20.34, χ2=8.17, all P<0.05). The adverse reactions(loss of appetite, pain in the spine) rate of the observation group was 8.3%, which was significantly lower than 30.0% of the control group(χ2=9.02, P<0.05). Conclusion The comparison with conventional simple debridement therapy, the use of debridement over interbody fusion and internal fixation is effective on treatment in children of spinal tuberculosis, children can speed up the recovery with fewer complications, which should be widely applied. Key words: Tuberculosis, Spinal; Bone transplantation; Spinal fusion; Child