经后外侧病灶清除植骨一期后路内固定治疗胸腰椎脊柱结核疗效观察

The Curative Effect of Internal Fixation in the Treatment of Thoracolumbar Spinal Tuberculosis With a Posterolateral Bone Grafting After Debridement

目的研究分析经后外侧病灶清除植骨一期后路内固定治疗胸腰椎脊柱结核疗效。方法选取我院收治的脊柱结核患者50例,均采用经后外侧病灶清除植骨一期后路内固定治疗,随访5~24个月,将患者术前及术后末次随访脊柱后Cobb角度变化对比分析,并评判治疗标准。结果术前、术后脊髓神经ASIA分级对比,差异有统计学意义（P〈0.05）;术后末次随访Cobb角度与术前比较,差异有统计学意义（P〈0.05）;患者治愈率为96.0%。结论采用经后外侧病灶清除植骨一期后路内固定治疗胸腰椎脊柱结核是有效的治疗方法,治疗效果优,不良反应少,能促进患者恢复。

Objective To study bone grafting of one-stage posterior internal fixation for treatment of thoracolumbar spinal tuberculosis by debridement. Methods 50 cases of patients with spinal tuberculosis in our hospital were treated with after lateral lesions clear bone graft one-stage posterior internal fixation. Patients were followed up for 5 to 24 months,preoperative and postoperative at last follow-up,the spinal Cobb angle were comparative analyzed. Results Before and after the operation,the ASIA grading of the spinal cord was compared,and the difference was statistically significant（P 0.05）. Compared with the preoperative and postoperative follow-up of Cobb,the difference was statistically significant（P 0.05）,and the cure rate was 96%. Conclusion The after lateral lesions clear bone graft after a period of posterior internal fixation in the treatment of thoracic and lumbar spine is a effective method of treatment.