摘要
目的评价一期后路病灶清除、经后路前方植骨、椎弓根螺钉系统内固定治疗进展期胸腰椎结核的优势、安全性和疗效。方法自2005年8月-2008年12月,对31例进展期胸腰椎结核行一期后路病灶清除、前方植骨融合、椎弓根螺钉系统内固定治疗。结果所有患者安全接受手术。术前Frankel分级:B级3例,C级5例,D级13例,E级10例;术前后凸Cobb角平均33.6°;术前CRP平均27.8mg/L。患者平均随访时间15.6月(12～44月)。术后1年随访时Frankel评分B级1例,C级2例,D级3例,E级25例;后凸Cobb角平均12.3°,矫正率63%;CRP(C反应蛋白)平均5.7mg/L。结论一期后路病灶清除、经后路前方植骨、椎弓根螺钉系统内固定治疗进展期胸腰椎结核创伤小,方法安全,疗效满意。
Objective To evaluate the advantages,safety and efficacy of one-stage posterior focus debridement and anterior bone graft posterior approach combined pedicle screws internal fixation for thoracolumbar tuberculosis in progressive phase.Methods From August 2005 to December 2008,31 patients with thoracolumbar tuberculosis in progressive phase were performed with the surgery of one-stage posterior focus debridement and anterior bone graft from posterior approach combined pedicle screws internal fixation.Results All the patients were performed the operation successfully.The pre-operative Frankel score：B in 3 case,C in 5 cases,D in 13 cases,E in 10 cases;the pre-operative mean kyphotic Cobb＇s angle was 33.6° and mean values of CRP was 27.8mg/L.The average time of follow-up was 15.6m（12～44m）.The post-operative Frankel score in 1 year follow-up：B in 1 case,C in 2 cases,D in 3 cases,E in 25 cases;the post-operative average kyphotic angle was 12.3°with corrective rate of 63% and mean value of CRP was 5.7mg/L.Conclusion One-stage posterior focus debridement and anterior bone graft from posterior approach combined pedicle screws internal fixation is an effect and safe technique for managing thoracolumbar tuberculosis in progressive phase with less trauma.
出处
《颈腰痛杂志》
2010年第4期255-258,共4页
The Journal of Cervicodynia and Lumbodynia
关键词
脊柱结核
病灶清除
植骨融合
椎弓根螺钉内固定
spinal tuberculosis
focus debridement
bone graft fusion
pedicle screws internal fixation
