摘要
目的观察一期后路椎弓根内固定加前路病灶清除、植骨融合治疗胸腰椎结核的临床效果.方法总结采用经后路椎弓根内固定加前路病灶清除、植骨融合治疗胸腰段至腰骶段结核32例的临床资料,包括植骨融合、截瘫恢复和后凸畸形矫正情况.结果随访9月～2.5年(平均1.5年),32例腰痛症状均消失,植骨区都骨性融合;27例合并截瘫患者中,症状改善26例;术后后凸畸形角度平均矫正30.2°,至植骨完全融合后,矫正角度平均丢失3.1°.结论通过一期后路椎弓根内固定联合前路病灶清除、植骨融合治疗胸腰椎结核能有效清除病灶、稳定脊柱及使神经减压.
Objective To evaluate the clinical effectiveness of posterior transpedicular screw system internal fixation and anterior lesional resection and interbody fusion in the tuberculosis of thoracic and lumbar spine. Methods The posterior transpedicular screw system internal fixation and anterior lesional resection and interbody fusion were used in 32 patients suffering from thoracic and lumbar spinal tuberculosis. Then interbody fusion, paraplegia recovery and kyphosis correction were investigated. Results All patients were involved in alongitudinal study with follow-up for 9 months to 2.5 years（a means of 1.5 years ）. The lumbar pain disappeared and complete interbody fusion were found in all patients. Among 27 patients with paraplegia, 26 were completely or partly recovered. The average correcting angle of the kyphosis was 30.2°and the average loss of correction was only 3. 1°until the complete interbody fusion. Conclusion It is effective to reestablish tie stability of the spine, provide successful lesional resection and recovery of paraplegia, correct the kyphosis for posterior transpedicular screw system internal fixation and anterior lesional resection and interbody fusion in the tuberculosis of thoracic and lumbar spine.
出处
《江西医学院学报》
CAS
2005年第6期127-129,共3页
Acta Academiae Medicinae Jiangxi
关键词
脊柱结核
胸椎
腰椎
内固定
病灶清除
植骨
tuberculosis of spine
thoracic spine
lumbar spine
internal fixation
lesional resection
grafting
