6期AComparativeStudyoftheEffectofIliumandTitaniumMeshStrutGraftintheTreatmentofThoracolumbarTuberculosisTUOYifan1，2，WUJide1，HULihong2，LIXusheng2，YANGShengsen2，QIAOYongdong2，YUANHaifeng2（1.NingxiaMedicalUniversity，Yinchuan750004，China；2.GeneralHospitalofNingxiaMedicalUniversity，Yinchuan750004，China）Abstract：ObjectiveTocomparethelong-termefficacyofautogenousiliacbonegraftandtitaniummeshbonegraftinstabilityreconstructionofspinaltuberculosis.MethodsAtotalof87patientswiththoracolumbartuberculosisunderwentposteriorinternalfixationfollowedbyanteriorradicaldebridementandbonegraftfusionfromApril2000toJanuary2008wereselected.44patientsreceivedautogenousiliacbonegraft（AIBGgroup）and43patientsreceivedtitaniummeshbonegraft（TMgroup）.Themeanofoperationtime，bloodloss，ESR，CRP，visualanaloguescale（VAS），oswestrydisabilityindex（ODI），graftfusiontimeandrelatedcomplicationswerecomparedbetweenthetwogroups.Frankelgradingsystem，Cobbangle，andlossofangularcorrectionwereemployedtoassessneurologicalandkyphoticimprovements.ResultsThemeanfollow-uptimewas13.4years，rangingfrom10to18years.Nosignificantdifferenceswerefoundinthemeanofoperationtime，bloodlossandhospitalizationtimebetweenthegroups（Pall>0.05）.TheVAS，ODI，ESRandCRPwerereducedsig-nificantlyatthepostoperativecomparedwiththepreoperationvalues（Pall<0.05），andtherewasnosignificancebetweenthegroups（Pall>0.05）.Bonefusionwasachievedat（5.3±0.7）monthsaftersurgeryinAIBGgroupand（5.5±1.5）monthsaftersurgeryinTMgroup，withnosignificantdifferencebetweenthetwogroups（P>0.05）.AllpatientsshowedsignificantimprovementinCobbanglesaftersurgery（Pall<0.05）.Atthefinalfollow-up，theimplantsubsidencerateandthelossofangularcorrectioninTMgroupweresignificantlyhigherthanthoseinAIBGgroup（Pall<0.05）.Neurologicaldeficitswereimprovedinallpatientsatthefinalfollow-up，andnoimplantfailureandnoSTBrecurrence.ConclusionAfterposteriorinternalfixationandcompleteanteriorde-bridementofthoracolumbartuberculosis，thereconstructionofant...
