This study examined the clinical outcomes of one-stage surgical treatment for patients with spinal tuberculosis via a posterior-only approach. Twenty-four patients with thoracic or lumbar spinal tuberculosis whose les...This study examined the clinical outcomes of one-stage surgical treatment for patients with spinal tuberculosis via a posterior-only approach. Twenty-four patients with thoracic or lumbar spinal tuberculosis whose lesions were confined to adjacent segments were admitted to our hospital and treated. The American Spinal Injury Association（ASIA） impairment scale was used to assess the neurological function. All patients were treated with one-stage surgical treatment via a posterior-only approach. The clinical efficacy was evaluated by the Japanese Orthopaedic Association（JOA） scores and oswestry disability index（ODI） of nerve function. Patients were evaluated preoperatively and postoperatively by measurement of spinal deformity using Cobb angle and radiological examination. All the patients were followed up for 13 to 27 months. They had significantly postoperative improvement in JOA score, ODI and ASIA classification scores. The kyphotic angles were significantly corrected and maintained at the final follow-up. Bone fusion was achieved within 4–12 months. It was concluded that one-stage surgical treatment via a posterior-only approach is effective and feasible for the treatment of spinal tuberculosis.展开更多
目的探讨3D打印技术辅助后路植骨联合后路椎弓根内固定对脊柱侧弯患者炎症-应激因子、腰椎功能及生存质量的影响。方法选取2021年1月至2023年1月南阳信臣中医院收治的60例脊柱侧弯患者,电脑随机分为两组,每组各30例。对照组采用后路椎...目的探讨3D打印技术辅助后路植骨联合后路椎弓根内固定对脊柱侧弯患者炎症-应激因子、腰椎功能及生存质量的影响。方法选取2021年1月至2023年1月南阳信臣中医院收治的60例脊柱侧弯患者,电脑随机分为两组,每组各30例。对照组采用后路椎弓根内固定,联合组采用3D打印技术辅助后路植骨联合后路椎弓根内固定。对比两组手术相关指标、Oswestry功能障碍指数(ODI)、视觉疼痛模拟VAS评分、应激因子[血清肌酸激酶(CK)、去甲肾上腺素(NE)、皮质醇(Cor)水平]、腰椎功能[胸腰段后凸角(TLK)、胸椎后凸角(TK)、腰椎前凸角(LL)]。结果联合组术中出血量、透视次数、住院天数少于对照组,手术时间长于对照组,差异有统计学意义(P<0.05);两组术后1个月ODI、VAS评分明显降低,其中联合组降低幅度大于对照组,差异有统计学意义(P<0.05);两组术后3 d Cor、NE、CK水平显著升高,其中联合组升高幅度小于对照组,差异有统计学意义(P<0.05);联合组术后两周TLK、TK、LL改善幅度大于对照组,差异有统计学意义(P<0.05)。结论3D打印技术辅助后路植骨联合后路椎弓根内固定在治疗脊柱侧弯患者中,能改善腰椎功能、减轻应激反应、提高生活质量,但手术时间较长。展开更多
文摘This study examined the clinical outcomes of one-stage surgical treatment for patients with spinal tuberculosis via a posterior-only approach. Twenty-four patients with thoracic or lumbar spinal tuberculosis whose lesions were confined to adjacent segments were admitted to our hospital and treated. The American Spinal Injury Association（ASIA） impairment scale was used to assess the neurological function. All patients were treated with one-stage surgical treatment via a posterior-only approach. The clinical efficacy was evaluated by the Japanese Orthopaedic Association（JOA） scores and oswestry disability index（ODI） of nerve function. Patients were evaluated preoperatively and postoperatively by measurement of spinal deformity using Cobb angle and radiological examination. All the patients were followed up for 13 to 27 months. They had significantly postoperative improvement in JOA score, ODI and ASIA classification scores. The kyphotic angles were significantly corrected and maintained at the final follow-up. Bone fusion was achieved within 4–12 months. It was concluded that one-stage surgical treatment via a posterior-only approach is effective and feasible for the treatment of spinal tuberculosis.
文摘目的探讨3D打印技术辅助后路植骨联合后路椎弓根内固定对脊柱侧弯患者炎症-应激因子、腰椎功能及生存质量的影响。方法选取2021年1月至2023年1月南阳信臣中医院收治的60例脊柱侧弯患者,电脑随机分为两组,每组各30例。对照组采用后路椎弓根内固定,联合组采用3D打印技术辅助后路植骨联合后路椎弓根内固定。对比两组手术相关指标、Oswestry功能障碍指数(ODI)、视觉疼痛模拟VAS评分、应激因子[血清肌酸激酶(CK)、去甲肾上腺素(NE)、皮质醇(Cor)水平]、腰椎功能[胸腰段后凸角(TLK)、胸椎后凸角(TK)、腰椎前凸角(LL)]。结果联合组术中出血量、透视次数、住院天数少于对照组,手术时间长于对照组,差异有统计学意义(P<0.05);两组术后1个月ODI、VAS评分明显降低,其中联合组降低幅度大于对照组,差异有统计学意义(P<0.05);两组术后3 d Cor、NE、CK水平显著升高,其中联合组升高幅度小于对照组,差异有统计学意义(P<0.05);联合组术后两周TLK、TK、LL改善幅度大于对照组,差异有统计学意义(P<0.05)。结论3D打印技术辅助后路植骨联合后路椎弓根内固定在治疗脊柱侧弯患者中,能改善腰椎功能、减轻应激反应、提高生活质量,但手术时间较长。
