生物骨科材料与临床研究2012，Vol.9Issue(3)：41-43,3.DOI:10.3969/j.issn.1672-5972.2012.03.014
前路一期病灶清除植骨内固定治疗胸腰椎结核
Anterior one-stage lesions removal,bone grafting and internal fixation for thoracolumbar spinal tuberculosis
郭良泽 1毛华晋 1马力 1徐卫国2
作者信息
- 1. 松滋市人民医院骨科,湖北松滋,434200
- 2. 华中科技大济医学院附属同济医院骨科,湖北武汉,430030
- 折叠
摘要
Abstract
Objective To discuss the clinical efficacy of thoracolumbar spinal tuberculosis by anterior one-stage debridement, bone grafting and internal fixation. Methods From Jan 2005 to Jan 2010, 34 cases with thoracolumbar spinal tuberculosis were treated by anterior one-stage debridement, bone grafting and internal fixation. All cases received four antituberculosis medication with four kinds of drugs for 4-6 weeks preoperatively, and the lesions were completely removal intraoperatively, iliac or ribs were used to graft, and screw-plate or screw-rod system fixation was applied. All the cases lay in bed for 8-12 weeks postoperatively, and the regular chemotherapy was continued for 12-18 months. Results All the cases were followed up for 16-30 months, no internal fixation loose and shed, kyphosis were prevented and satisfied, lesions have not recrudesced, back pain symptoms disappeared. Conclusion Treatment of thoracolumbar spinal tuberculosis by anterior one-stage lesions removal, bone grafting and internal fixation can compeletely removal the lesions, reconstruct spinal stability, correct and prevent kyphosis, and have excellent clinical outcome.关键词
胸腰椎结核/病灶清除/植骨/内固定Key words
Thoracolumbar spinal tuberculosis/Debridement/Bone graft/Internal fixation分类
医药卫生引用本文复制引用
郭良泽,毛华晋,马力,徐卫国..前路一期病灶清除植骨内固定治疗胸腰椎结核[J].生物骨科材料与临床研究,2012,9(3):41-43,3.
