临床骨科杂志2012，Vol.15Issue(1)：21-22,25,3.
一期后路病灶清除植骨融合内固定治疗腰骶椎结核
One-stage posterior debridement, bone graft and instrumentation for lumbosacral tuberculosis
周若舟 1刘社庭 1刘晓岚 1胡文军 1谭丽萍1
作者信息
- 1. 郴州市第一人民医院脊柱外科,湖南,郴州,423000
- 折叠
摘要
Abstract
Objective To investigate the feasibility and clinical efficacy of one-stage posterior debridement, bone graft and instrumentation for lumbosacral tuberculosis. Methods 21 patients with lumbosacral tuberculosis by regular anti-TB treatment for 2 ~ 4 weeks were operated with one-stage posterior debridement, bone graft and instrumentation. All cases received regular anti-TB treatment for 12 ~ 18 months after surgery. Results The operation time was 150 ~240( 180 ±32 ) min, and the blood loss was 400 ~ 800( 600 ± 84 ) ml. There was no injury of ureter, blood vessel or endorhachis during the surgery. Operative incision in 1 case occurred fistula formation and the rest cases were primary healing. All cases were followed-up for 24 ~ 54( 36. 5 ± 2. 3 )months. Bone fusion was evidenced in all cases one year after surgery. At final follow up, 8 cases with neurological deficit had neurofunction improved to grade E. The mean post-operative lumbosacral angle was 24. 5° ±5. 3°, there was no instrument failure,and no tuberculosis recurrence was noted either. Conclusions The surgical treatment for lumbosacral tuberculosis via one-stage posterior debridement, bone graft and instrumentation is safe and effective based on a routine chemotherapy. But the indications should be strictly controlled.关键词
腰骶椎结核/后入路/病灶清除/内固定Key words
tuberculosis of lumbosacral junction/posterior approach/debridement/internal fixation分类
医药卫生引用本文复制引用
周若舟,刘社庭,刘晓岚,胡文军,谭丽萍..一期后路病灶清除植骨融合内固定治疗腰骶椎结核[J].临床骨科杂志,2012,15(1):21-22,25,3.
