中国骨伤2013，Vol.26Issue(7)：543-545,3.DOI:10.3969/j.issn.1003-0034.2013.07.003
Ⅰ期后路病灶清除植骨融合内固定治疗胸椎结核
Surgical treatment of thoracic tuberculosis with one stage posterior debridement and bone grafting fusion and internal fixation
丁少成 1曹家俊 1魏学忠 1周本学 1王凤民1
作者信息
- 1. 六安市第二人民医院骨科,安徽六安237008
- 折叠
摘要
Abstract
Objective:To investigate the effect and indication of one stage posterior debridement and bone grafting fusion and internal fixation for thoracic tuberculosis.Methods:From January 2005 to May 2011,12 patients with thoracic tuberculosis were treated with one stage posterior debridement and pedicle screw fixation combined with regular anti-tuberculosis treatment before and after operation.There were 7 males and 5 females,with an average age of 45 years and average course of 15 months.Information of operative time,blood loss,bony fusion,local kyphosis and neurologic functional were evaluated.Resuits:All infective focus were thoroughly removed and bone graft obtained fusion.The mean of operative time and blood loss were 170 min (120-210 min) and 510 ml (200-1 000 ml),respectively.Cobb angle from (28.7±9.2)° preoperatively decreased to (8.2±3.5) ° postoperatively (P＜0.05).No kyphosis correction loss,tubercular recurrence or failure of internal fixation was found.According to Frankel grade to evaluate neurological function,all patients arrived to grade E.Conclusion:One stage posterior debridement and bone grafting fusion and internal fixation is an effective method in treating thoracic tuberculosis.It has advantages such as thorough debridement,short operative time,less blood loss,more kyphosis correction and higher bony fusion rate.关键词
结核,脊柱/病灶清除/外科手术Key words
Tuberculosis, spinal/ Debridement / Surgical procedures,operative引用本文复制引用
丁少成,曹家俊,魏学忠,周本学,王凤民..Ⅰ期后路病灶清除植骨融合内固定治疗胸椎结核[J].中国骨伤,2013,26(7):543-545,3.
