中国骨伤2017，Vol.30Issue(5)：475-478,4.DOI:10.3969/j.issn.1003-0034.2017.05.016
后路病灶清除椎间植骨融合内固定术治疗原发性腰椎间盘炎
Posterior debridement,interbody fusion,internal fixation for treatment of lumbar discitis
陈林 1程军 1李波 1占方彪 1张友 1冯世龙1
作者信息
- 1. 重庆三峡中心医院脊柱外科,重庆404000
- 折叠
摘要
Abstract
To evaluate the clinical effects of posterior debridement,interbody fusion with internal fixation in the treatment of lumbar discitis.Methods:The clinical data of 13 patients with lumbar discitis treated from January 2005 to June 2012 was retrospectively analyzed.There were 9 males and 4 females,aged from 31 to 68 years old with an average of 56 years old.There were 2 cases on L3,4,4 cases on L4,5,and 7 cases on LsS1.Two cases complicated with diabetes,4 cases with hypertension,and 1 case with obsolete pulmonary tuberculosis.ESR level of 13 cases was 12-89 mm/h with an average of 42 mnm/h;and C reactive protein fluctuations level was level 8-114 ng/L with an average of 47 ng/L.All the patients denied history of operation or injection,and the main symptom was severe pain and limitation of motion in lumbar,with no efficacy for conservative methods.Preoperative VAS was from 5 to 10 points with an average of 7.8 points.All patients were treated with posterior debridement,interbody fusion,and internal fixation.Results:All the patients left hospital after wound healing,and the effective antibiotics were continuously used for 4 weeks intravenously and 2 weeks for orally.All patients were followed up from 7 to 24 months with an average of 18 months.VAS decreased for 0-1 point.No internal fixation breakage,and recurrence were found.Bone graft got fusion,and postoperative pathology showed phlogistic changes.Conclusion:One-stage posterior debridement,interbody fusion with internal fixation was an effective method in treating lumbar discitis,and it lead to quicker relived pain relief and earlier mobilization.关键词
腰椎/椎间盘/炎症/清创术/脊柱融合术/内固定Key words
Lumbar vertebrae/Intervertebral disk/Inflammation/Debridement/Spinal fusion/Internal fixation引用本文复制引用
陈林,程军,李波,占方彪,张友,冯世龙..后路病灶清除椎间植骨融合内固定术治疗原发性腰椎间盘炎[J].中国骨伤,2017,30(5):475-478,4.
