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

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.