半椎板切除减压植骨融合内固定治疗腰椎结核

Semi-laminectomy and decompression with bone allograft and posterior instrumentation for single lumbar segment tuberculosis

[目的]评价后路半椎板切除全椎管减压、病灶清除、同种异体骨植骨融合内固定术治疗腰椎结核的临床效果。[方法]自2010年3月-2013年10月,本院采用经后路半椎板切除全椎管减压、病灶清除、同种异体骨植骨融合内固定术治疗腰椎结核患者32例。[结果]术后患者症状较前明显改善。术后VAS、ESR、CRP及Cobb’s角改善明显,JOA优良率为90.6%;ODI优良率为93.7%;术后1年X线片示融合率为90.6%。[结论]采用后路半椎板切除全椎管减压、病灶清除、同种异体骨植骨融合内固定术治疗腰椎结核是一种安全、有效的手术策略。

[ Objective] To evaluate the outcome of the patients with single lumbar tuberculosis who underwent single stage semi- laminectomy decompression, radical debridement with bone allograft and posterior instrumentation. [ Methods ] From March 2010 to October 2013, 32 cases which underwent single stage semi- laminectomy decompression, radical debridement with bone allograft and posterior instrumentation were include in this study. [ Results] The postoperativeVAS, ESR, CRP and Cobb＇ s Angle were improved obviously. The excellent and good rate was 90. 6% and 93.7% in the JOA scores and the ODI in- dex. The postoperative X - ray fusion rate within 1 year was 90. 9%. [ Conclusion] Single stage semi - laminectomy decom- pression, radical debfidement with bone allograft and posterior instrumentation is a safe and effective surgical operation.