A retrospective and comparative study of transverse process strut (TPS, Group A) compared with titanium mesh cages (TMCs, Group B) in the reconstruction of thoracic stability through the one-stage posterior approach to treat single-segment tuberculosis. Sixty patients from January 2013 to December 2016 were analyzed and divided into two groups. The following data of clinical and radiographical assessments were observed preoperatively, postoperatively and during follow-up (FU). The patients were followed up for an average of 50.20 ± 25.10 months (Group A) and 48.70 ± 27.30 months(Group B) without significant difference. No significant differences were found in the mean of operation time in minutes, blood loss, hospitalization time, drainage and follow-up duration between the groups. The VAS, ODI, ESR and CRP were reduced significantly at the final FU compared with the preoperation values and there was no significance between the groups. Neurological deficits were improved in all patients at the final FU without significant difference between the groups(P > 0.05). The bony fusion times were 5.85 ± 1.82 months and 8.4 ± 5.1 months with significant difference(P < 0.05). Comparing with the preoperative values, the kyphosis angle significantly improved, but at the final FU the significant difference was found between the groups (P < 0.05). The loss of the angular correction and the fused segmental height in group A was lower than that in group B (P < 0.05). TPS had a better osseous fusion rate, effective maintenance of fused segment stability which is a good bone graft for surgical management of single-segment thoracic spinal tuberculosis.

中文翻译：

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横向过程支柱和钛网笼在胸部单节段结核稳定性重建中的回顾性单中心队列研究

通过一期后路治疗单节段性肺结核重建横突撑杆（TPS，A组）与钛网笼（TMC，B组）的回顾性比较研究。分析2013年1月至2016年12月的60例患者，并将其分为两组。在术前，术后和随访期间（FU）观察到以下临床和影像学评估数据。对患者平均随访50.20±25.10个月（A组）和48.70±27.30个月（B组），差异无统计学意义。两组之间以分钟为单位的平均手术时间，失血量，住院时间，引流和随访时间无显着差异。VAS，ODI，与术前相比，最终FU的ESR和CRP显着降低，两组之间无显着性差异。最终FU时所有患者的神经功能缺损均得到改善，两组之间无显着性差异（P> 0.05）。骨融合时间分别为5.85±1.82个月和8.4±5.1个月，差异有统计学意义（P <0.05）。与术前值相比，后凸角明显改善，但在最终FU时，两组之间存在显着差异（P <0.05）。A组的角校正损失和融合节段高度低于B组（P <0.05）。TPS的骨融合率更好，