一期清除病灶、自体植骨并内固定治疗胸腰椎结核疗效分析  

Anterior Interbody Autografting and Internal Fixation for Primary Surgical Management of Thoracolumbar Spinal Tuberculosis

作　　者：黄拥军[1] 张皓[1] 刘君[1] 王运涛[1] 

机构地区：[1]潜江市中心医院骨外科,湖北潜江433100

出　　处：《医学新知》2009年第5期292-294,共3页New Medicine

摘　　要：目的探讨一期病灶清除、自体植骨并内固定治疗胸腰椎结核的安全性及疗效。方法对15例胸腰椎结核采用一期前路病灶清除、椎体间自体植骨并腰椎“Z”形前路钛钢板内固定治疗；随访12～36（平均23）个月。结果15例脊柱结核均治愈，无局部结核复发，植骨全部骨性融合，融合时间平均为5．1个月。术后后凸矫正角度平均29°，1～3年随访后平均丢失2．1°。结论在结核病灶清除后一期植骨并局部植入钛质内固定器械是安全和有效的。Objective To verify the importance of early reconstruction of spinal stability and to evaluate the safety of anterior instrumentation in surgical management for spinal tuberculosis. Methods 15 cases of thoracolumbar spinal tuberculosis were treated with primary anterior debridement, inetrbody autografting and Z-plate fixation from January, 2004 to January, 2007. Results All the 15 cases healed without any recurrence after follow-up for an average of 23 months. Spinal fusion occurred in 5.1 months on average after surgery. 29 degrees of kyphosis correction was achieved without serious associated complications. Conclusion Early reconstruction of spinal stability plays an important role in surgical management for spinal tuberculosis, and it is safe to implant anterior titanium spinal instrument in tuberculosis foci.

关 键 词：脊柱结核 脊柱融合术 脊柱固定术 外科手术 

分 类 号：R529.2[医药卫生—内科学]