后路病灶清除椎间植骨椎弓根内固定治疗术后重症椎间盘炎  被引量:3

Treatment of the severe postoperative discitis through the posterior disc debridement and interbody compression fiusion using pedicle screw system

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作  者:李超[1] 干阜生[1] 赵致良[1] 周宇[1] 付青松[1] 赵刚[1] 

机构地区:[1]安徽省阜阳市人民医院骨科,安徽省阜阳市鹿祠街2号236004

出  处:《中国脊柱脊髓杂志》2006年第10期748-750,共3页Chinese Journal of Spine and Spinal Cord

摘  要:目的:探讨腰椎间盘突出症术后并发重症腰椎间盘炎的治疗方法。方法:2002年2月 ̄2005年10月采用经后路椎间病灶清除、椎间颗粒状骨植骨融合、椎弓根内固定治疗腰椎间盘突出术后并发重症腰椎间盘炎9例。结果:术后当天腰背肌痉挛性疼痛立即缓解,随诊8 ̄29个月,平均19个月,所有患者腰腿痛消失,椎间隙均达骨性融合。结论:经后路椎间病灶清除,椎间颗粒状植骨、椎弓根内固定治疗术后重症椎间盘炎能清除感染源及炎性介质,迅速解除腰腿痛,缩短疗程,早期活动,椎间融合率高,重建了脊柱稳定性。Objective:To find the way of treatment of severe postoperative discitis.Method:From Feb,2002 to Oet,2005,9 cases of the severe postoperative discitis were treated with posterior debridement of the renmant disc,the interbody granular grafts,and the interbody compression fusion using pedicle screw system.Result:The patients had remarkable improvement of their severe hack pain only in 1-3 days after surgery,The 9 eases were followed up for 8-29 months.All patients' back and leg pain was relieved and a good lumhar fusion was achieved.Conclusion:The surgery of posterior debridement of the remnant disc and interhody compressive fusion by pediele screws is able to clear away the infective focus and inflammatory medium and achieve a high rate of the interbody fuslon,and reconstruct spinal stability,so it has the advantages of speedily relieving back paln,cuttlng the course of the treatment,moving early and so on.

关 键 词:椎间盘炎 后路椎间病灶清除 椎间融合 内固定 

分 类 号:R681.5[医药卫生—骨科学] R687.3[医药卫生—外科学]

 

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