椎弓根钉棒内固定同期前路病灶清除植骨治疗腰5骶1椎体结核  

One-stage posterior transpedicle internal fixation and anterior debridement,autograft bone fusion for the treatment of the vertebral tuberculosis in L5S1

作　　者：张强[1] 赵秉航[1] 查建群[1] 洪标辉[1] 李小海[1] 庄仕龙[1] 

机构地区：[1]广州市胸科医院,510095

出　　处：《广州医药》2007年第4期30-32,共3页Guangzhou Medical Journal

摘　　要：目的探讨改进术式对椎体结核的临床疗效。方法对20例腰5-骶，椎体结核的患者行椎弓根钉棒内固定同期前路病灶清除植骨手术治疗。术前强化抗痨2—4周，术中先行椎弓根钉棒内固定稳定病变节段，然后改变体位从前路清除病灶、取自体髂骨植骨。术后规则抗痨1年，平均随访3．4年。结果切口一期愈合，无术中、术后并发症，术后2周患者可佩带护腰支具下床活动，1～3个月ESR逐步恢复正常。随访期间未见松动、移位，无内固定松动、折断。结论椎弓根钉棒内固定同期前路病灶清除骨术治疗腰，～骶，椎体结核可彻底清除病灶、矫正后凸畸形、早期重建和维护脊柱的稳定性，缩短了患者术后康复期，防止后突畸形进行性加重。Objective To analyze the clinical effects of the vertebral tuberculosis in L5 S1 treated by one-stage posterior transpedicle internal fixation and anterior radical debridement, autograft bone fusion. Methods There were 20 patients with vertebral tuberculosis in L5 ~ S1. They were treated by one-stage posterior transpedicle internal fixation and anterior radical debridement, autograft bone fusion. The preoperative kyphosis anti-tuberculosis medication for 2 to 4 weeks. After operation, the anti-tuberculosis medication was continued for one year. Results All of the patients were followed up after surgery for 2.0 ~ 5.1 years （ with an average of 3.4 years） . There were no operative and post-operative complication. All of the incisions healed primarily. Conclusion One-stage posterior transpedicle internal fixation and anterior radical debridement, autograft bone fusion shows good results in the treatment of vertebral tuberculosis in L5S1. Debridement of the lesion, correction of the deformity and the restore of spine stability can be achieved in the same surgery.

关 键 词：脊柱结核 脊柱融合术 内固定器 

分 类 号：R687.3[医药卫生—骨科学]