摘要
目的 :探讨胸腰段脊柱结核外科治疗中一期前路病灶清除、椎体间自体植骨并前路内固定的治疗效果。方法 :对 91例胸腰椎结核患者行一期前路病灶清除、椎体间自体植骨并前路内固定治疗。结果 :91例脊柱结核患者平均随访 13月均治愈 ,无局部复发 ,植骨全部骨性融合 ,融合时间平均 3.7月 ,后突矫正角度 2 0°,治疗优良率达 95 .5 %。结论 :一期前路病灶清除椎体间自体植骨并前路内固定是安全和有效的 ,并在重建脊柱稳定性中具有重要的意义。
Objective To discuss the effect of primary anterior debridement, interbody autografting,and anterior internal fixation on the surgical management of thoracolumbar spinal tuberculosis . Methods Ninety-one cases of thoracolumbar spinal tuberculosis were treated with primary anterior debridement , interbody autografting,and anterior internal fixation .Results All cases were treated without any recurrence after follow-up for an average of 13 months. Spinal fusion occurred in 3.7 months on average with 20 degree of kyphosis correction achieved after surgery and 95.5% of the patients obtained good results .Conclusion Primary anterior debridement, interbody autografting,and anterior internal fixation for the surgical management of thoracolumbar spinal tuberculosis are safe and effective and play an important role in reconstruction of spinal stability.
出处
《湖南医科大学学报》
CSCD
北大核心
2003年第2期162-164,共3页
Bulletin of Hunan Medical University
关键词
内固定
治疗
胸腰椎结核
外科手术
内固定器
tuberculosis, spinal
internal fixators
surgical procedures,operative
