临床骨科杂志Issue(3)：284-287,4.DOI:10.3969/j.issn.1008-0287.2015.03.011
一期后路病灶清除植骨内固定治疗胸腰椎结核
One-stage posterior debridement,bone graft and instrumentation for thoracolumbar tubercu-losis
朱劲松 1沈宏达 1艾买尔江 1焦见海 1李建刚 1付建1
作者信息
- 1. 新疆兵团第一师医院骨科，新疆 阿克苏 843000
- 折叠
摘要
Abstract
Objective To evaluate the efficacy of the posterior debridement,compact bone graft and internal fixation for thoracolumbar tuberculosis.Methods 36 patients with thoracic and lumbar tuberculosis were treated by posterior debridement,compact bone graft and short-segment internal fixation.Among them,there were 8 T11 ~12 ,12 T12 ~L1 , and 16 L1 ~2 .Cobb angles before surgery were 12°~20°.All cases presented with neurological deficit prior to surgery, based on ASIA scale,there were 12 cases of grade C and 24 cases of grade D.Antituberculosis chemotherapy and nu-trition supplement were performed routinely before and after surgery.Results All operations were performed suc-cessfully with no neurovascular or major organ injury noted.The operation time was 140 ~190min,and the blood loss was 400 ~800ml.The hospital stay time was 13 ~16 d.The follow-up period was 12 ~36 months.All cases got solid bony fusion in 5 ~8months postoperation.During follow-up,no instrument failure and recurrence of tuberculosis were noted.Cobb angles after surgery were 0°~11°.6 cases suffering from neurological deficit recovered to grade D,while the others with normal neurofunction recovered to grade E at final follow-up.Conclusions Posterior approach focus clearance one-stage internal fixation in treatment of thoracolumbar tuberculosis can be well done in spinal cord and nerve root decompression and fusion,correction of deformity.关键词
胸腰椎结核/病灶清除/内固定/植骨融合/后路Key words
tuberculosis of thoracic and lumbar spine/debridement/internal fixation/bone graft fusion/posterior ap-proach分类
医药卫生引用本文复制引用
朱劲松,沈宏达,艾买尔江,焦见海,李建刚,付建..一期后路病灶清除植骨内固定治疗胸腰椎结核[J].临床骨科杂志,2015,(3):284-287,4.
