Objective: To review the progress of surgical treatment for the thoracolumbar spinal tuberculosis.
Methods: The related literature of surgical treatment for the thoracolumbar spinal tuberculosis was reviewed and analyzed from the aspects such as surgical approach, fixed segments, fusion ranges, bone graft, and bone graft material research progress.
Results: Most scholars prefer anterior or combined posterior approach for surgical treatment of thoracic and lumbar tuberculosis because it possessed advantage of precise effectiveness. In recent years, a simple posterior surgery achieved satisfactory effectiveness. The fixation segments are mainly composed of short segments or intervertebral fixation. The interbody fusion is better for the bone graft fusion range and manner, and the bone graft materials is most satisfied with autologous iliac Cage or titanium Cage filled with autologous cancellous bone.
Conclusion: The perfect strategy for treating the thoracolumbar spinal tuberculosis has not yet been developed, and the personalized therapy for different patients warrants further study.
目的: 对胸腰椎脊柱结核的外科治疗及进展进行综述。.
方法: 广泛查阅国内外关于胸腰椎脊柱结核外科治疗的文献，对胸腰椎结核手术入路、固定节段、融合范围、植骨方式和植骨材料的研究进展进行分析总结。.
结果: 前路或前后路联合手术治疗胸腰椎结核疗效确切，为大多数学者推崇。近年来单纯后路手术取得了满意临床疗效。固定节段以短节段或病椎间固定为主，植骨融合范围和方式以病椎间植骨融合为佳，植骨材料以自体髂骨或填塞自体松质骨的钛笼疗效最为满意。.
结论: 胸腰椎脊柱结核的最佳治疗策略尚无定论，对于不同患者的个体化治疗需要进一步研究。.
Keywords: Spinal tuberculosis; bone graft fusion; bone graft material; internal fixation; surgical approach.