脊柱结核一期内固定治疗重建脊柱稳定性及其矫治后凸畸型的研究  

Internal fixation of spinal tuberculosis for the reconstruction of spinal stability and the remedy of spinal kyphosis

作　　者：王吉兴[1] 鲁凯伍[1] 金大地[1] 陈建庭[1] 江建明[1] 张浩[1] 

机构地区：[1]解放军第一军医大学南方医院脊柱骨病科,广东省广州市510515

出　　处：《中国临床康复》2004年第8期1418-1419,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探讨根治脊柱结核和一期内固定重建脊柱稳定性的方法与内固定的选择。方法:36例脊柱结核患者均采用前路病灶清除术,除腰骶椎选择后路内固定外,其余均在病灶区直接内固定。35例行椎间植骨融合。结果:平均随访18个月,全部患者均治愈,植骨全部融合,后凸畸形矫正率为55%。结论:彻底的病灶清除联合一期内固定是提高脊柱结核疗效和后凸矫治的很好方法。AIM:To verify the radical treatment of spinal tuberculosis and the reconstructive methods of spinal stability and the choices of internal fixation. METHODS:Thirty six patients with spinal tuberculosis were treated with anterior debridement.Posterior fixation was used in patients with lumbosacral junction tuberculosis,and anterior fixation was used in the rest patients.Thirty five cases were treated with bone grafting. RESULTS:After 18 month follow up,all cases were healed with bony fusion with 55%corraction of kyphosis. CONCLUSION:Radical debridement united primary internal fixation is a good method for improving curative effect and correction of kyphosis of spinal tuberculosis.

关 键 词：脊柱结核 一期 内固定 治疗 脊柱重建 脊柱稳定性 矫治 脊柱后凸畸型 

分 类 号：R529.2[医药卫生—内科学]