岭南现代临床外科2024，Vol.24Issue(1)：59-64,6.DOI:10.3969/j.issn.1009-976X.2024.01.009
后路经单侧椎弓根入路病灶清除植骨内固定重建胸腰椎结核脊柱前中柱功能的疗效
Efficacy of reconstructing anterior spinal column function in thoracolumbar tuberculosis by le-sion removal via unilateral pedicle approach
摘要
Abstract
Objective To study the efficacy of anterior spinal column function in the reconstruction of thoracolumbar tuberculosis.Methods Fifty-three patients with thoracolumbar tuberculosis admitted to Heyuan People's Hospital from January 2018 to April 2022 were selected as the observation group,and treated by posterior debridement via unilateral pedicle approach with bone grafting and internal fixation.Fifty-two patients with thoracolumbar tuberculosis admitted to our hospital from January 2014 to December 2017 were selected as the control group and treated with traditional posterior debridement with bone graft and internal fixation.The intraoperative and postoperative indicators,erythrocyte sedimentation rate(ESR),C-reactive protein(CRP),Cobb angle,Cobb angle loss rate,digital pain(NRS)score,Oswestry dysfunction index,American Spine Injury Association Neurological Function(ASIA)grade and complications were compared between the two groups.Results The postoperative drainage volume of observation group was lower than that of control group(P<0.05).At the last follow-up after surgery,ESR and CRP were decreased in both groups(P<0.05).At the last postoperative follow-up,the Cobb Angle and Oswestry disability index in the sagittal plane of the lesion were decreased in both groups compared with those before surgery(P<0.05),the cobb Angle loss rate in the observation group was lower than that in the control group(P<0.05),the NRS score in the observation group was lower than that in the control group at the last postoperative follow-up(P<0.05).The proportion of grade C-D in observation group was lower than that in control group(P<0.05),and the proportion of grade E in observation group was higher than that in control group(P<0.05).There were no significant differences in the total incidence of pleural effusion,incision infection,intercostal neuralgia and cerebrospinal fluid leakage between the two groups(P>0.05).Conclusion Patients with thoracolumbar spinal tuberculosis have less postoperative drainage rate,lower postoperative cobb angle loss rate and lower pain degree,and better neurological function recovery.关键词
胸腰椎结核/后路经单侧椎弓根入路Key words
thoracolumbar tuberculosis/posterior approach,unilateral pedicle approach分类
医药卫生引用本文复制引用
方磊,陈鑫营,易燕斌,陈子华..后路经单侧椎弓根入路病灶清除植骨内固定重建胸腰椎结核脊柱前中柱功能的疗效[J].岭南现代临床外科,2024,24(1):59-64,6.基金项目
河源市科技局项目(200719231503073) （200719231503073）
