[Treatment of thoracolumbar tuberculosis complicated with paraplegia].
OBJECTIVE
To explore characteristics of thoracolumbar tuberculosis complicated with paraplegia, relationship between efficacy and approach of operation, and to discuss indication and applicability of conservative treatment.


METHODS
Forty-eight cases with thoracolumbar tuberculosis complicated with paraplegia were classified into two groups. Thirty-two cases in the operational group were treated with extrapleural, extraperitoneal approach and transpleural, extraperitoneal approach. Sixteen cases in the nonoperational group were treated conservatively.


RESULTS
The recovered cases in the operational and the nonoperational groups respectively accounted for 75% and 88%.


CONCLUSIONS
Thoracolumbar tuberculosis complicated with paraplegia can be cured by either operative or conservative treatment, and the efficacy of operation directly related with operational approach.
Beijing Tuberculosis and Thoracic Tumour Institute, Beijing 101149.
Y
Y
Lin
B
B
Guan
Q
Q
Wu
D000293:Adolescent; D000328:Adult; D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D019299:Decompression, Surgical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000150:complications* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000601:surgery*; D014399:Tuberculosis, Spinal / Q000150:complications* / Q000188:drug therapy / Q000601:surgery
D000995:Antitubercular Agents