Computed tomography-guided percutaneous focal catheter infusion in the treatment of spinal tuberculosis.
The study aimed to investigate the efficacy of computed tomography (CT)-guided percutaneous focal catheter infusion for the treatment of spinal tuberculosis. Clinical and follow-up data from 27 spinal tuberculosis patients who underwent CT-guided intervertebral catheterized infusion chemotherapy from May 2008 to October 2011 were retrospectively analyzed; treatment included pure intervertebral infusion chemotherapy and catheter drainage for continuous abscess washing during infusion chemotherapy. All surgeries were successfully completed under CT guidance without complications. The C-reactive protein levels of most patients rebounded within the first postoperative week but significantly decreased after the second and fourth postoperative weeks. CT-guided percutaneous focal catheter infusion was effective for the treatment of spinal tuberculosis and induced little trauma; this treatment could also relieve the symptoms and improve the quality of life of elderly patients with poor general conditions.
Xiaohua
X
Hou
Xiaowei
X
Sun
Zhiyong
Z
Zhang
Guangyue
G
Xie
Xifeng
X
Zhang
D000038:Abscess / Q000628:therapy*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000995:Antitubercular Agents / Q000008:administration & dosage*; D001799:Blood Sedimentation; D002097:C-Reactive Protein / Q000378:metabolism; D002404:Catheterization / Q000379:methods*; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D036502:Infusions, Intralesional / Q000379:methods; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D025321:Surgery, Computer-Assisted / Q000379:methods*; D013904:Thoracic Vertebrae / Q000601:surgery*; D036542:Tomography, Spiral Computed; D016896:Treatment Outcome; D014399:Tuberculosis, Spinal / Q000097:blood / Q000628:therapy*
D000995:Antitubercular Agents; D002097:C-Reactive Protein