摘要
[目的]探讨后路小切口内固定前路病椎有限切除有限融合在腰椎结核中的治疗价值。[方法]回顾性分析2008年1月~2014年6月采用后路微创切口内固定前路椎体有限融合治疗腰椎结核56例,观察术后恢复情况(Cobb角、ESR、CRP、VAS评分)。[结果]术前与术后6个月的Cobb角、VAS评分分别为(15.7±4.6)°/(5.3±2.1)°、(8.7±1.1)分/(1.7±0.2)分,术前与术后6个月比较差异有统计学意义(P<0.05)。术后6个月复查腰椎X线片,均见植骨融合。[结论]后路小切口内固定前路病椎有限融合治疗腰椎结核,保留了腰椎正常节段的运动功能,能恢复和维持脊柱的稳定性,创伤小。
[Objective] To investigate the clinical value of anterior limited fusion through posterior minimally invasive approach for treatment of spinal tuberculosis. [Methods] From January 2008 to June 2014, a posterior minimally invasive in- cision approach was used in anterior lumbar fusion for spinal tuberculosis in 56 cases, and the postoperative recovery situation was observed by measuring Cobb angle, ESR, CRP, VAS score. [Results] At six months after operation, spinal thsion were seen in X-ray film in all cases. No adverse effects were observed,such as graft absorption, fracture, broken nails, bro- ken rods. The Cobb angle and VAS scores at pre-operation and at 6 months after operation were （15.7±4.6）°/ （5.3± 2.1）°,（8.7± 1.1）/（ 1.7±0.2）, showing statistically significant differences （P 〈 0.05） between each other. [Conclusion ] Despite small, or minimally invasive incision, anterior limited fusion through posterior approach can also retain normal motor function of lumbar segments, restore and maintain stability of the spine
作者
赵明伟
周伟东
刘朝阳
曹帅
徐凯
李磊
ZHAO Ming-wei ZHOU Wei-dong LIU Chao-yang et al(Surgery Department, Qingdao Chest Hospital, Qingdao 266043, Chin)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2017年第3期218-221,共4页
Orthopedic Journal of China
基金
青岛市科技局公共领域科技支撑计划课题(编号:10-3-3-4-22-nsh)
青岛市医疗卫生优秀人才培养项目资助
关键词
脊柱
结核
融合
微创
手术
spine, tuberculosis, integration, minimally invasive, surgery
