《中国康复理论与实践》

《中国康复理论与实践》 ›› 2002, Vol. 8 ›› Issue (09): 547-549.

• 临床康复 • 上一篇    下一篇

后外侧植骨椎弓根系统内固定同期病灶清除术治疗胸腰椎结核

马远征; 陈兴; 薛海滨; 李宏伟; 吴长勇; 孙继桐   

  1. 解放军309医院骨科,解放军结核病研究中心 北京市 100091
  • 收稿日期:2002-07-11 出版日期:2002-09-25 发布日期:2002-09-25

Posterolateral autograft bone graft fusion transpedicular screw system internal fixation and anterior debridement in the treatment of dorsal and lumber spinal tuberculosis

MA Yuan-zheng, CHEN Xing,XUE Hai-bing,et al   

  1. 309th Hospital of PLA, Beijing100091,China
  • Received:2002-07-11 Published:2002-09-25 Online:2002-09-25

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摘要： 目的探讨后外侧植骨椎弓根系统内固定同期病灶清除治疗胸腰椎结核的疗效。方法总结我科行后外侧植骨椎弓根系统内固定同期病灶清除治疗胸腰椎结核患者48例,随访时间1.5—5.5年,平均3.6年。内容包括植骨融合率、截瘫恢复情况和后凸畸形矫正状况。结果所有患者均显示骨性融合;38例合并截瘫的患者中,症状改善35例;术后后凸畸形平均矫正29.1°,1.5—5.5年后随访,后凸角度平均丢失3.2°。结论后外侧植骨椎弓根系统内固定同期病灶清除可恢复脊柱的即刻稳定性,有利于骨融合,促进截瘫恢复和防止截瘫复发,矫正及预防后凸畸形。

关键词: 胸腰椎结核, 椎弓根系统, 椎板植骨, 内固定

Abstract: ObjectiveTo evaluate the clinical effectiveness of posterolateral autograft bone graft fusion transpedicular screw system internal fixation and anterior debridement in the treatment of dorsal and lumber spinal tuberculosis. MethodsFrom March 1996 to July 2000,posterolateral autograft bone graft fusion transpedicular screw system internal fixation and anterior debridement procedures were used in 62 patients suffering from dorsal and lumber spinal tuberculosis in our department,48 of them were involved in a longitudinal study follow-up for a mean of 3.6(1.5-5.5)years postoperatively. ResultsAll patients showed successful posterolateral bone graft fusion. Among 38 cases of Pott's paraplegia, 30 were completely recovered,5 were partly recovered,the rate of recovery was 92.1%. The average immediate postoperative correction of kyphosis angle was 29.1°,the average loss of correction was only 3.2°at final follow-up.ConclusionsPosterolateral autograft bone graft fusion transpedicular screw system internal fixation and anterior debridement procedure were found helpful in strengthening the stability of the spine in dorsal and lumber spinal tuberculosis, providing successful interbody fusion and recovery of Pott's paraplegia, correcting the kyphosis, and preventing progression of kyphosis.

Key words: dorsal and lumber spinal tuberculosis, transpedicular screw system, posterolateral bone graft fusion, internal fixation