改良Wiltse入路联合前路治疗胸、腰椎结核  

Modified Wiltse approach combined anterior for the treatment of thoracic and lumbar spinal tuberculosis

作　　者：宋辉[1] 张伟军[1] 曹雷[1] 鲍亚星[1] 冯虎[2] 

机构地区：[1]徐州市第一人民医院骨科,江苏徐州221002 [2]徐州医学院附属医院骨科

出　　处：《中国伤残医学》2014年第24期4-6,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨改良Wiltse入路联合前路治疗胸、腰椎结核的临床疗效。方法：回顾性分析2008年7月～2013年5月，行改良Wiltse入路联合前路治疗胸、腰椎结核患者34例，其中胸椎5例，胸腰段7例，腰椎22例。结果：所有患者术后切口均1期愈合，结核临床治愈且无复发，椎体间融合均达到骨性融合。结论：在抗结核基础上1期行后路改良Wiltse入路椎弓根钉棒系统内固定联合前路病灶清除植骨融合手术，治疗胸、腰椎结核临床疗效满意。Objective：To explore the clinical outcomes of thoracic and lumbar spinal tuberculosis through modified Wiltse approach combined anterior approach.Methods：From July 2008 to May 2013, 34 patients who suffered from thoracic and lumbar spine tuberculosis underwent surgical treatment via modified Wiltse approach combined anterior approach, including thoracic spine 5 cases, thoracolumbar spine 7cases, and lumbar spine 22 cases.Results：All the incision were one-stage healed , Tuberculosis were cured, and no recurrence happened, all the interbody graft got bone fusion.Conlc usion：After sufficient antituberculous treatment, one-stage pedicle screw fixation by modified Wiltse approach combined debridement and interbody bone graft fusion via anterior approach could achieved satisfactory clini-cal results for the treatment of thoracic and lumbar spinal tuberculosis.

关 键 词：胸椎 腰椎 结核 脊柱融合术 

分 类 号：R681.53[医药卫生—骨科学]