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| Influencing Factors and Significance of Lower Extremity Motor and Sensory Impairment in Patients with Spinal Tuberculosis |
| Yibulayinjiang·Mijiti, Atawula·Wubulihasimu, ZHANG Yu-xin |
| The First People's Hospital,Kashi,Xinfiang Uygur Autonomous Region 844000,China |
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Abstract 【Objective】To explore the influencing factors and significance of lower extremity motor and sensory deficits (LMSD) in patients with spinal tuberculosis (STB).【Methods】A total of 82 STB patients from January 2015 to January 2018 were selected as the study subjects. According to the presence or absence of LMSD, 42 patients were divided into LMSD group and 40 patients without LMSD group. Age, sex, duration of symptoms, deterioration of disease, clinical symptoms, clinical signs, imaging features, kyphosis angle, Oswestry dysfunction index (ODI) and visual analogue score (VAS) were compared between the two groups.【Results】Multivariate logistic regression analysis showed that age, deterioration of disease, vertebral position and spinal compression were independent risk factors for LMSD. Sixty-five patients underwent surgical treatment. The kyphosis angle improved from (26.8±9.3) degree to (12.0±7.6) degree, the average correction degree was (11.9±4.3) degree, and the average correction loss at the final follow-up was (1.9±1.5) degree. There were significant differences in preoperative and final ODI and VAS scores between the two groups (P < 0.05).【Conclusion】 Patients with spinal tuberculosis involving cervical or lumbar spine, if they have a history of disease progression and history of spinal compression, may cause symptoms such as movement disorders or sensory disturbances. Appropriate treatment options such as surgery should be used to achieve complete debridement. Sufficient stability of the spine to better restore function prevents STB from becoming worse.
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Received: 20 June 2018
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2019, Vol. 36 
