中国医药科学Issue(5)：201-203,3.
脊柱结核前后路不同术式的选择及疗效分析
Selection and efficacy analysis of different anterior and posterior surgical methods for spinal tuberculosis
周树根 1陈少慧 1温干军1
作者信息
- 1. 广东省东莞市常平医院骨科，广东东莞523560
- 折叠
摘要
Abstract
Objective To analyze the selection and efficacy of different anterior and posterior surgical methods for spinal tuberculosis. Methods 188 adult patients with lumbosacral and thoracolumbar tuberculosis admitted to our hospital from April 2010 to April 2013 were randomly divided into 4 groups, with 47 patients in each group. Group A received lesion anterior clearance surgery, bone grafting fusion surgery and anterior internal fixation surgery;Group B received vertebral pedicle posterior internal fixation surgery, bone grafting fusion surgery and lesion anterior clearance surgery;Group C received lesion lateral anterior clearance surgery, bone grafting fusion surgery and vertebral pedicle posterior internal fixation surgery; Group D received lesion posterior clearance surgery, vertebral pedicle posterior internal fixation surgery and bone grafting fusion surgery. The treatment efficacy of each group was observed. Results Group A had a kyphosis correction rate of (47.5±11.8)%,which was significantly lower than the (61.5±18.6)%, (58.7±15.9)% and (59.9±17.4)% of group B, C and D (P < 0.05); Group A had a correction angel loss rate of (64.8±19.3)%, which was significantly higher than the (53.6±15.6)%,(56.9±11.8)%and (54.9±5.4)%of group B, C and D(P < 0.05). Conclusion Different surgical methods should be chosen based on the surgical indications of spinal tuberculosis in order to clear lesions and correct kyphosis; Compared to the anterior fixation surgical method, the application of posterior fixation in the correction of kyphosis can achieve better efficacy.关键词
脊柱结核/前后路/不同术式Key words
Spinal tuberculosis/Anterior and posterior/Different surgical method分类
医药卫生引用本文复制引用
周树根,陈少慧,温干军..脊柱结核前后路不同术式的选择及疗效分析[J].中国医药科学,2014,(5):201-203,3.
