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后方入路经椎旁病灶清除椎弓根钉内固定治疗胸腰椎结核42例

Clinical Analysis on the Surgical Treatment for Thoracolumbar Tuberculosis by Posterior Debridement and Pedicle Screw Fixation
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摘要 目的:探讨后方入路经椎旁病灶清除、植骨、椎弓根钉内固定技术治疗胸、腰椎结核的疗效。方法:对42例胸腰椎结核患者采用后方入路经椎旁病灶清除、植骨、椎弓根钉内固定术,术后定期随访,观察近、远期疗效。结果:所有切口一期愈合,全部病例植骨骨性融合,神经损害有1~2级的改善,脊柱后凸畸形有不同程度纠正,结核无局部复发。结论:后方入路经椎旁病灶清除、植骨、椎弓根钉内固定术是治疗胸腰椎结核简便、有效、安全的方法。 Objective:To evaluate the clinical effects of treatment for patients of thoracolumbar tuberculosis by debridement,bone graft,and pedicle screw fixation via posterior body incision.Methods:All 42 patients of thoracolumbar tuberculosis by debridement,bone graft,and pedicle screw fixation via posterior body incision were followed-up regularly.Results:All operation were successful,and the incision were healing completely.All grafted bone was fused completely.Neurologic function recovered to a 1-2 degree in Frankel grading.A certain degree of kyphosis correction achieved after surgery.There was no recurrence in patients with tuberculosis.Conclusion:The method of debridement,bone graft,and pedicle screw fixation via posterior body incision for the treatment of thoracolumbar tuberculosis is easy,effective,and safe.
出处 《中国中医骨伤科杂志》 CAS 2011年第10期22-24,共3页 Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词 脊柱结核 胸椎 腰椎 后方入路 Tuberculosis Thoracic spine Lumbar spine Posterior operation
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