一期前路病灶刮除植骨内固定治疗严重颈椎结核  

Primary debridement, bone autografting and internal fixation in treatment of severe cervical spine tuberculosis

作　　者：王文良[1] 吴梅英[1] 许建中[1] 杨柳[1] 周仲安[1] 马树枝[1] 王序全[1] 周强[1] 李起鸿[1] 

机构地区：[1]第三军医大学西南医院骨科,重庆400038

出　　处：《第二军医大学学报》2004年第2期229-230,共2页Academic Journal of Second Military Medical University

摘　　要：目的 :探讨一期前路刮除病灶植骨内固定治疗不稳定颈椎结核的安全性和效果。 方法 :随访 1 999～ 2 0 0 1年严重颈椎结核患者 1 0例 ,经一期前路刮除病灶、椎体间植骨、Orion钢板内固定治疗 ,所有患者平均随访 2 0个月。 结果 :局部结核无复发 ,植骨融合 ,颈椎后凸畸形得到纠正 ,神经症状均有改善。结论 :一期前路彻底刮除结核病灶植骨 。Objective: To access the safety and efficacy of primary anterior interbody fusion and internal fixation after debridement for unstable cervical spinal tuberculosis. Methods: Ten patients with cervical spinal tuberculosis were treated by debirdement, primary anterior interbody fusion and internal fixation from 1999 to 2001. Results: All the 10 cases healed and autografts fused without relapse of TB during 20 months follow up. The kyphosis was corrected and the neural symptoms were improved. Conclusion: It is safe and effective to treat spinal tuberculosis by complete excision of primary anterior autograft and internal fixation with titanium plate.

关 键 词：一期手术 前路病灶刮除 内固定 手术治疗 严重颈椎结核 骨移植 

分 类 号：R529.2[医药卫生—内科学]