髂骨钉联合椎弓根钉棒内固定同期前路病灶清除植骨治疗腰骶椎结核

Iliac screw combined with pedicle screw system internal fixation and one-stage anterior focus elimination plus bane grafting in the lumbosacral tuberculosis

目的对髂骨钉联合椎弓根钉内固定同期病灶清除，自体髂骨植骨融合治疗腰骶椎结核的手术方法和疗效进行探讨。方法采用后路髂骨钉联合腰椎椎弓根钉内固定，腰骶椎结核病灶清除自体髂骨椎间植骨手术治疗腰骶椎结核患者12例。结果术口一期愈合，术后4星期可佩带护腰支具下床活动，8个月以上随诊X线片显示植骨均骨性融合。结论采用后路髂骨钉联合椎弓根钉内固定，加同期病灶清除自体髂骨植骨融合治疗腰骶椎结核是安全有效的方法。

Objective To study the method and therapeutic efficacy of the combined iliac screw with pedicle screw system internal fixation and one-stage anterior interbody autograft with iliac crest bone after focal cleaning in lumbosacral tuberculosis. Methods We summarized our 12 cases with lumbosacral tuberculosis treated using iliac screw combined with pedicle screw system internal fixation and one-stage anterior focus elimination plus iliac crest bone grating during 3 years. Results All the incisions were healed by first intention. All patients can off-bed activity wearing lower back protector two weeks after operation and above eight months after operation, the follow up X-ray film showed all bone-grafts obtained solid fusion. Conclusion It was a safe and reliable method to treat lumbosaeral tuberculosis by using iliac screw combined with pedicle screw system internal fixation and one-stage anterior focus elimination plus iliac crest bone grafting.