关键词: 布鲁氏杆菌性脊柱炎, 保守治疗, 脊柱结核, 手术治疗

Abstract: 【Abstract】〓Objective〓To report the clinical experience in treatment and diagnosis of Brucellar spondylitis. Methods〓Eighteen patients with brucellar spondylitis were included the study and the lesion distribution was from T₁₂ to S₁. Of 18 cases,.5 received conservative treatment and 13 underwent surgical treatment. All patients were administrated a combined modality therapy including doxycycline, rifampicin, and streptomycin. Surgical procedure was performed through cleaning the lesion, grafting iliac crest bone for intervertebral bone and fixation..from anterior or posterior lumbar approach. Follow-up was 2 years. Results〓All of the patients got good effect. Two conservative treatment cases had slight pain on low back after strenuous labor. And in those who underwent surgery, one had low fever, one case had minor residual pain on low back and felt discomfort on lower extremity..Conclusion〓With reasonable treatment plan,.Brucellar spondylitis could get satisfactory curative effect by combined surgery with drugs or drug alone.

Key words: Brucellar spondylitis, Conservative treatment, Spinal tuberculosis, Surgery