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Copyright of Journal of Kunming Medical University / Kunming Yike Daxue Xuebao is the property of Kunming Medical Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Kunming Medical University / Kunming Yike Daxue Xuebao is the property of Kunming Medical Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To explore the effect of internal fixation， limited focus debridement and interbody thoracic fusion in the treatment of thoracic tuberculosis under fluoroscopy guidance. Method Twenty-eight patients with thoracic vertebral tuberculosis，including 12 men and 16 women， with an average age of 39.46years，were selected from June 2012 to June 2015 at the First Affiliated Hospital of Kunming Medical University. All patients were treated with internal fixation， limited focus debridemen， bone grafting under fluoroscopic guidance． Preoperative and postoperative follow-up JOA，VAS score.， Frankel classification， x-ray examination of lesions vertebral body cobb angle， erythrocyte sedimentation rate， time of inter body fusion. The patients were followed up for 3，6 and 9 months. 1 year later， once every 1 year follow-up． Results All patients were followed up for 18~36 months， the average operation time was 120~240 minutes， the surgeon bleeding volume was 200~400ml，no major intraoperative vascular or spinal cord injury were found. All patients were followed up for 18-36 months． All patients with tuberculosis symptoms disappeared without recurrence， no wound infection， sinus formation or failure of internal fixation and other complications． The JOA score was23.75±2.33 at the last follow-up， which was statistically different from that before operation（15.67±3.72）（P＜0.05）.TheVAS score was 1.46±0.92 at the last follow-up，which was statistically different from that before operation（4.53±1.93） （P＜0.05）.Spinal cord function： Frankel grading: 11 cases of grade E，9cases of grade 4 of which recovery to grade E，4 cases of grade C，1 case of recovery to grade D，B grade 3cases were recovery to grade C. A grade 1 case without recovery. ESR was 33~102mm / 1h when they was hospitalized， the average was 65.21±15.11mm/1h. After 3 to 9 months erythrocyte sedimentation rate recovery to normal. Postoperative 5~12 months x-ray suggested interbody fusion ，internal fixation was stable， the average inter body fusion time was 7.14 months. The Cobb angle was 13.17±4.70 degrees after operation， and Cobbloss was 0~8 degrees at the last follow-up， which was statistically different from the preoperative control group（34.03±6.31 degrees， P <0.05）.Conclusion Internal fixation，limited focus debridement and inter body thoracic fusion under fluoroscopy guidance for the treatment of thoracic tuberculosis is safe and effective. [ABSTRACT FROM AUTHOR]