中国现代手术学杂志2017，Vol.21Issue(4)：279-282,4.DOI:10.16260/j.cnki.1009-2188.2017.04.009
纳米羟基磷灰石/聚酰胺66椎体支撑体在儿童脊柱结核前柱重建手术中的应用
Application of Nano-Hydroxyapatite/Polyamide 66 Cage in the Anterior Spinal Reconstructive Surgery for Spinal Tuberculosis in Children
王强 1罗为民 1许宇霞 1何友智 1王永福1
作者信息
- 1. 长沙市中心医院脊柱外科,湖南长沙 410004
- 折叠
摘要
Abstract
Objective To evaluate the clinical effect of nano -hydroxyapatite /polyamide 66 (n-HA/PA66) cage in the anterior spinal reconstructive surgery for spinal tuberculosis in children . Methods A total of 23 children with spinal tuberculosis from January 2008 to December 2015 were performed anterior focus debridement and spinal reconstructive surgery by n -HA/PA 66 cage combined with spinal internal fixators .The tuberculosis lo-cated in thoracic vertebrae in 9 cases, thoracolumbar vertebrae in 9 cases and lumbar vertebrae in 5 cases.The preoperative Frankel classification was grade D in 14 cases and grade E in 9 cases. Results All 23 were fol-lowed up for 9 to 36 months with an average of 12.6 months.The pain was relieved with the VAS sore decreasing from 7.2 ±1.3 preoperatively to 1.8 ±1.1 postoperatively (P <0.05).The symptom of tuberculosis was disap-peared and the lesion was cured completely without recurrence .14 cases with incomplete paraplegia restored from grade D to grade E of Frankel neurological classifications .The Cobb angle of involved vertebrae was corrected from 45.2°±2.5°preoperatively to 28.3°±2.6°postoperatively(P <0.05).There was no cage emersion, rup-ture and collapse in all cases.The fusion rate achieved 100% nine months after the surgery.The X-ray and 3D-CT showed slight sedimentation of the cage in 4 cases, but well bone fusion was achieved between the im-bedded cage and terminal plate of adjacent vertebral body and internal fixation was reliability in all cases .Conclusion The n-HA/PA 66 cage can restore and maintain the fusion segmental height and improve the bone graft fusion, and it is an ideal shoring and grafting material in the anterior spinal reconstructive surgery for spi -nal tuberculosis in children.关键词
羟基磷灰石/聚酰胺/人工椎体/纳米材料/脊柱结核/儿童Key words
nano-hydroxyapatite /polyamide 66/artificial vertebral body/nano-materials/spinal tuberculosis/child分类
医药卫生引用本文复制引用
王强,罗为民,许宇霞,何友智,王永福..纳米羟基磷灰石/聚酰胺66椎体支撑体在儿童脊柱结核前柱重建手术中的应用[J].中国现代手术学杂志,2017,21(4):279-282,4.
