摘要
Abstract
Objective:To explore the clinical effect of the anterior debridement,bone fusion,single screw-rod fixation for the treatment of lumbosacral tuberculosis.Methods:From March 2005 to February 2011,18 patients with lumbosacral (L3-S1) tuberculosis (including 13 males and 5 females with an average age of 38.5 years old ranging from 24 to 61 years) were treated with removing focus completely,large piece of iliac bone strut grafting,single screw-rod vertebral lateral anterior internal fixation through anterior extraperitoneal approach.The process segment was L3,4 in 2 cases,L4,5 in 5,L4 in 2,L5S1 in 6,L4-S1 in 3.All patients were routinely treated with antituberculous druy for 12-18 months after operation,erythrocyte sedimentation rate and liver function,X-ray films,CT examination,were statedly rechecked,and condition of antituberculosis treatment and bone grafting fusion were detected.Results:Intraoperative focus were exposed clearly,debrided thoroughly.There were no large blood vessels,nerves,ureteral injury and other serious complications during operation.All patients were followed up form 6 to 42 months with an average of 13 months.Internal fixations were not loosening,breaking;bone of grafting was not displacementand obtained good healing;erythrocyte sedimentation rate and C-reactive protein were normal;tuberculosis lesions were not recurrence.Conclusion:Through anterior extraperitoneal approach to remove focus,bone fusion,single screw-rod fixation in treating lumbosacral tuberculosis can complete cut lesion and rebuild the stability of lumbosacral vertebrae,in this area with a single screw and rod fixation is a feasible method.关键词
腰骶部/结核,脊柱/骨移植/内固定器Key words
Lumbosacral region/ Tuberculosis,spinal/ Bone transplantation / Internal fixators
