Факторы, вызывающие осложнения при хирургическом лечении туберкулезного спондилита

The retrospective estimation of surgical treatment of 364 patients with tuberculosis spondylitis is presented. Frequency of early and late complications of surgical treatment comprised 11,8 % of all the operations performed. The analysis of the received results revealed dependence of amount of complications on terms of disease diagnostics, timing of operative intervention and accompanying complications of the disease. Early postoperative complications have been associated with nosocomial infection and progression the disease with mycobacterium tuberculosis drug resistance. Late complications of tuberculosis spondylitis were connected with inconsistency of anterior spondilodesis or with degenerate-dystrophic processes in the spine due to its biomechanical disorder. Early operative intervention and a prolonged course of chemotherapy taking into account sensitivity of the causative agent have been proved to be effective.