后路椎弓根系统内固定加前路植骨融合治疗胸腰椎结核(附31例报告)  

INTERNAL FIXATION IN POSTERIOR VERTEBRAL PEDICLES AND ANTERIOR BONE GRAFTING AND FUSION IN TREATING 31 CASES OF THORACOLUMBAR TUBERCLES

作　　者：陆建忠[1] 王贵春[1] 唐守英[1] 

机构地区：[1]临沂医专附属临沂市人民医院,山东临沂276003

出　　处：《临沂医学专科学校学报》2005年第3期175-177,共3页Journal of Linyi Medical College

摘　　要：目的探讨后路椎弓根系统内固定加前路病灶清除减压植骨融合术治疗胸腰椎结核的临床效果。方法回顾总结1996年4月至2001年4月应用本术式治疗胸腰椎结核31例,包括植骨融合、截瘫恢复情况及后凸矫正情况。随访时间6个月～2年。结果术后所有患者6个月至1年内显示骨性融合,24例合并神经症状,术后全部改善,改善率为100%,后凸畸形平均矫正27.9°。结论后路椎弓根系统内固定加前路减压植骨融合能加强脊柱稳定性,矫正后凸畸形,促进截瘫肢体功能恢复。Objective To explore the curative effects of internal fixation in posterior vertebral pedicles and anterior bone grafting and fusion in treating thoracolumbar tubercles. Methods The treatments of 31 cases of theracolumbar tubercles treated with bone grafting and fusion and correction of posterior convex from April, 1996 to April,2001 were retrospectively analyzed. The follow-up surveys lasted 6 months to 2years. Results All cases showed bony fusion 6 months to a year later. 24 cases （100 % ） complicated with nervous symptoms got improved. The degree of correction of posterior convex was 27.9°. Conclusion Internal fixation in posterior vertebral pedicles and anterior bone grafting and fusion can stablize spines, correct posterior convex deformities and contribute to the recovery of paraplegic bodies.

关 键 词：胸椎 腰椎 结核 椎弓根系统 内固定 减压 

分 类 号：R529.2[医药卫生—内科学]