Treatment of spinal tuberculosis with focal debridement or percutaneous focal debridement and local chemotherapy

Objective: To compare the results of the treatment of spinal tuberculosis with focal debridement (group A) or percutaneous focal debridement and local chemotherapy(group B).Method:From Jan.1993 to Dec.2001,78 cases of spinal tuberculosis were treated with focal debridement.From Jan.2002 to Oct.2003,36 cases of the same disorders were treated with percutaneous focal debridement and local chemotherapy.No severe spinal deformity or neurological deficits were in all patients.After operation,the operative duration,hemorrhage,operative times,the time of general chemotherapy and local chemotherapy,recurrent rate and et al were observed.Result:At first period,62.9% cases were in group A.At second period,85.7% cases were in group B.The operative times,hemorrhage,recurrence rate,local chemotherapy and general chemotherapy between two groups was significantly different.Conclusion:Percutaneous focal debridement and local chemotherapy can replace the status of focal debridement and be as main choice to treat spinal tuberculosis.It is apropriate for cases of spinal tuberculosis with no severe spinal deformity and nerve deficit.