检验医学与临床Issue(1)：52-53,56,3.DOI:10.3969/j.issn.1672-9455.2014.01.023
前路固定与后路固定对脊柱结核一期病灶清除植骨融合术的疗效影响
Effect of anterior and posterior internal fixation on one-stage radical debridement and bone graft fusion in spinal tuber-culosis
李刚 1杜新辉 1刘克宇1
作者信息
- 1. 新疆石河子大学医学院第一附属医院骨科，新疆石河子 832008
- 折叠
摘要
Abstract
Objective To investigate and compare the efficacy of anterior and posterior internal fixation one-stage radical debridement and bone graft fusion in treating spinal tuberculosis .Methods 80 cases of spinal tuberculo-sis treated from October 2006 to October 2012 were selected and randomly divided into the group A and B .The group A(40 cases) used anterior internal fixation and the group B(40 cases) used posterior internal fixation .The different subgroups were divided according to the number of injured vertebral body .The cases of single vertebral body were taken as the group A1 and B1 ,while the cases of multiple vertebral bodies were taken as the group A2 and B2 .The subgroup A2 and B2 were redivided into the different subgroups according to the kyphosis angle of vertebral body . The cases with the kyphosis angle<60° were as the group α,which >60° as the groupβ.Results The operative time and blood loss of the group A1 were significantly lower than those of the group B1 ,the difference had statistical sig-nificance(P<0 .05) .The correction rate of postoperative kyphosis angle and the deformity in the group A 2β had sta-tistical significance compared with the group B2β(P<0 .05) .The complication incidence rate of the group B2 was sig-nificantly lower than that of the group A2 with statistical difference(P<0 .05) .Conclusion Anterior internal fixation one-stage radical debridement and bone graft fusion in treating spinal tuberculosis with injured single vertebral body can reduce the surgical time and surgical injury ;posterior internal fixation one-stage radical debridement and bone graft fusion is suitable for the spinal tuberculosis with injured multiple vertebral bodies and large kyphosis angle .关键词
脊柱结核/内固定/植骨融合Key words
spinal tuberculosis/internal fixation/bone graft fusion引用本文复制引用
李刚,杜新辉,刘克宇..前路固定与后路固定对脊柱结核一期病灶清除植骨融合术的疗效影响[J].检验医学与临床,2014,(1):52-53,56,3.
