Advantages of anterior fixation of lumbar tuberculosis of the thoracic spine

What should tuberculosis patients pay attention to? 1, whether the patient adheres to reasonable, regular medication is the key to the success or failure of treatment. Irregular medication not only seriously affects the efficacy of tuberculosis, but also increases the number of patients with chronic bacterial discharge. Therefore, the tuberculosis must go to the tuberculosis hospital for consultation and treatment, must follow the doctor’s instructions, adhere to the regular use of medication. 2, tuberculosis patients to ensure good rest and adequate sleep is the basic guarantee of disease recovery. Patients should ensure more than 8 hours of sleep per day and take more bed rest. Recovering patients can arrange walking, qigong, tai chi, jogging, light physical labor and other activities under the guidance of the doctor, and exercise should be done according to the strength of the patient’s body and in moderation. Develop good hygiene habits, frequent bathing, maintain skin hygiene, but the water temperature can not be too hot, each time should not be too long, so as not to cause excessive physical exertion or hemoptysis. Clothes and bedding should be dried frequently, and the room should be ventilated often. 3.Tuberculosis patients have greater nutritional consumption, rational arrangement of diet is very important. Under the guidance of the doctor, high-calorie, high-protein, high-vitamin meals can be considered, while paying attention to the diversity of diet and its color, aroma, taste, shape and so on. Generally do not need to “taboo”, chicken, duck, fish, meat, milk, eggs, seafood, vegetables, fruits, etc. can be eaten, but some stimulating food (such as too spicy, too salty dishes) can not eat too much, so as not to cause cough aggravation. Smoking and alcohol should be abstained from, because alcohol can aggravate the damage of drugs to the liver, and alcohol dilates blood vessels, tuberculosis patients may cause hemoptysis after drinking alcohol. Advantages of anterior fixation of thoracic lumbar spine tuberculosis, indications for anterior fixation: spinal tuberculosis patients needing surgery, less bone-damaging segments. 1. With anterior fixation and intervertebral implant fusion, the patient can go down to the ground and practice walking at an early stage. Nearly 200 surgeries were performed in my department in less than 2 years, and the average time to go down to the ground was 10-15 days, the earliest being 7 days and the latest being 2 months. 2. Small injury, anterior fixation incision selection and lesion removal surgery is an incision, so as to reduce the (posterior fixation another incision) injury, but also shorten the operating time (posterior fixation in the fixation surgery after turning over to do the lesion removal, delay. Anterior fixation is the same incision as the lesion, and there is no need to turn over.) The average operation time is 2-3 hours. 3. No waste of good spinal space, anterior fixation is based on the amount of bone destruction and determine the position of titanium nail fixation, if the destruction of 2 vertebrae is small, as long as the fixation of the diseased vertebrae can be, if the destruction is heavy, only up and down the extension of 1 segment. Posterior fixation, on the other hand, mostly extends 1-2 segments upward and downward, in which case the extra segment is also immobilized, which is fine in the case of the thoracic spine, which has little mobility. If the thoracic spine is fine, the thoracic spine has little mobility. Fixation of one more segment will greatly reduce the mobility of the patient’s lumbar region. 4. Stronger fixation, because the anterior fixation segments are fewer, the fixation rods are relatively shorter than the posterior ones, and the chances of short rods are smaller. (Chopsticks made of the same material are not the same length, so if they have to be broken, the force must be different.) 5. High cure rate.