摘要
目的 探讨多椎体结核内固定与非内固定疗效的差异 ,比较二者的优缺点。方法 总结 1990年～ 2 0 0 1年采用脊柱前路病灶清除植骨术与同时用饶氏椎体钉、Ventrofix、Z -Plate钢板、USS等器械内固定治疗胸腰椎结核病人共 12 4例。其中非内固定 6 8例 ,内固定 5 6例。观察术后植骨融合、神经恢复、畸形纠正情况及治愈率。结果 经平均 2 5年的随访证实 ,内固定植骨融合速度快于非内固定组 ,有显著性差异 ;神经功能Frankel分级二组全部得到改善 ;畸形纠正内固定组后弓角较术前平均改进 2 9°、非内固定组平均改进 5°,有显著性差异。内固定组治愈率为 10 0 % ,非内固定组治愈率为 87% ,有显著性差异。结论 脊柱结核内固定可早期重建脊柱稳定性并加速植骨融合 ;有明显改善畸形的作用 ;减少结核复发 。
Objective To study the characteristics and the effects of surgical treatments with and without internal fixation in multi-vertebral spinal tuberculosis.Methods One hundred and twenty-four cases of thoracolumbar tuberculosis were treated with anterior debridement and interbody antografting from 1990 to 2001,56 cases of these cases were treated with Raos screw,Ventrofix,Z-Plate and USS fixation,the other cases were treated without internal fixation.Results All cases were followed-up for an average of 30 months.Neurologic function of all cases improved by Frankel grade,kyphotic deformity was corrected on an average of 29 degrees in cases used internal fixation,5 degrees in other cases (P<0 01),the cases used internal fixation had a higer recoveration rate (100% VS 87%,(P<0 01) and quicker speed (P<0 01) than cases without internal fixation. Conclusion Interal fixation plays an important role in surgical treatment of spinal tuberculosis by early reconstructiving spinal stability,correcting deformity,speeding bony fusion,and lessing arrest.
出处
《骨与关节损伤杂志》
2002年第4期275-277,共3页
The Journal of Bone and Joint Injury
