一期前后路联合手术治疗生长期儿童下颈椎结核并后凸畸形

One-stage combined anterior and posterior surgery for treatment of lower cervical tuberculosis complicated with kyphosis in children

目的探讨一期前后路联合手术治疗生长期儿童下颈椎结核并后凸畸形的临床疗效。方法回顾性研究自2008-03—2012-06诊治的生长期儿童下颈椎结核并后凸畸形12例,均采用一期前后路联合手术治疗。结果术后切口均一期愈合,无感染及窦道形成。随访平均22个月。术后颈椎后凸Cobb角平均-5°,较术前明显改善(P<0.05);末次随访时平均-4.8°,与术后比较差异无统计学意义(P>0.05)。末次随访时2例神经功能恢复至D级,其余均恢复至E级。结论一期前后路联合手术治疗生长期儿童下颈椎结核并后凸畸形可获得较满意的临床疗效。

Objective To study the clinical efficacy of one-stage combined anterior and posterior surgery for treatment of lower cervical tuberculosis complicated with kyphosis in children. Methods From March 2008 to June 2012, 12 children with lower cervical tuberculosis complicated with kyphosis underwent one-stage combined anterior and posterior surgery.Results All wounds healed without infection and sinus formation. The mean follow-up period was 22 months. The mean postoperative Cobb angle of cervical kyphosis was-5°, which significantly improved compared with the preoperative（P〈 0.05）;and the mean final follow-up Cobb angle of cervical kyphosis was-4.8°, which was no significantly different compared with the postoperative（P 〉0.05）. At final follow-up all cases improved to Frankel＇s grade E, except 2 cases improved to Frankel＇s grade D. Conclusion The clinical efficacy of one-stage combined anterior and posterior surgery for the treatment of lower cervical tuberculosis complicated with kyphosis in children is satisfactory.