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Abstract Objective〓 To investigate the value of primary anterior defoliation and bone grafting combined with internal fixation of sacroiliac joint plate in the treatment of sacroiliac joint tuberculosis.Methods〓A retrospective analysis was performed on 30 patients with sacroiliac joint tuberculosis treated at the Eighth Affiliated Hospital of Xinjiang Medical University from January 2013 to June 2022.According to Kim's classification，there were 9 cases of type Ⅲ and 21 cases of type Ⅳ.The patients were divided into a control group and a study group based on the surgical approach.The control group comprised 14 patients，including 6 males and 8 females，with an age range of 18 to 73 years and a mean age of (54.57±16.93 )years.They underwent anterior lesion clearance and bone fusion.The study group consisted of 16 patients，with 5 males and 11 females，ranging in age from 25 to 72 years，with a mean age of (48.38±14.59)years.All patients underwent anterior debridement，bone grafting，and plate internal fixation，followed by anti-tuberculosis treatment for 12 to 18 months after surgery.The operation time，intraoperative blood loss，bone graft fusion time，erythrocyte sedimentation rate(ESR)，and C-reactive protein(CRP) levels before and 3 months after surgery were compared between the two groups.The visual analog scale(VAS) and Majeed score were used to evaluate the preoperative and postoperative effectiveness.Results〓All patients were followed up for a duration ranging from 12 to 18 months，with a mean follow-up of (14.24±1.72)months.All 30 cases of sacroiliac joint tuberculosis patients achieved cure.When comparing the two groups in terms of operation time，partial weight-bearing bone graft fusion time，and post-operative downtime，statistically significant differences were observed (P＜0.05).The VAS and Majeed grading index improved significantly from pre-operation to post-operation in both groups (P＜0.05).At 1 week post-operation，there was a significant difference in the VAS between the two groups (P＜0.05)，but no significant difference was found at 3 months and 6 months post-operation (P＞0.05).However，there were significant differences in Majeed scores between the two groups at 3 months and 6 months post-operation (P＜0.05).Conclusion〓 The use of anterior debridement and bone graft fusion combined with sacroiliac plate fixation is an efficacious approach for treating sacroiliac joint tuberculosis.This method boasts the advantages of a simplified surgical procedure，early stabilization of the pelvis，a shorter bone graft fusion time，and a significant improvement in pelvic function.
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Corresponding Authors:
Dilixiati Abulizi
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