| 摘要: |
| ［摘要］ 目的 探讨胸腰段椎体结核合并有巨大寒性脓肿行一期前路病灶清除，椎管减压，后路内固定植骨融合的疗效。方法 对1999-01～2005-12间收治的22例胸腰椎结核合并有巨大寒性脓病例，采用同期前路病灶清除，后路椎弓根螺钉内固定，自体植骨融合治疗。结果 术后随访6～24个月，平均9个月，22例脊柱结核患者均治愈，症状消失，无局部结核复发，植骨全部骨性融合，融合时间为5～7个月，后凸矫正率达80%。结论 在胸腰椎结核手术中，后路内固定和前路病灶清除与植骨可同期进行，能有效地稳定病椎，部分矫正畸形，消灭病灶，缩短卧床时间。 |
| 关键词: 脊柱结核 内固定 胸腰脊柱 |
| DOI： |
| 分类号:R 529.2 |
| 基金项目: |
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| Anterior lesion removal and posterior internal fixation for the treatment of thoracolumbar tuberculosis combined with huge abscess |
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LIU Chang-sheng, LIAO Yong-fa, WEI Jia-ning, et al.
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Department of Spinal Surgery, Yulin Orthpa Edic Hospital.Yulin Guangxi 537000, China
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| Abstract: |
| ［Abstract］ Objective To observe the etfect of anterior debridement, spinal decompression, posterior fixation and bone fusion in the treatment of thoracic and lumbar tuberculosis combined with huge cold abscess.Methods From January 1999 to December 2005, the 22 cases of thoracic and lumbar tuberculosis combined with huge cold abccess were treated, by simulfaneous operation of anterior debridement, pedicle screw fixation, and the treatment of auto-fusion.Results The patients were followed up 6 to 24 months, with an average of 9 months, The 22 patients of spinal tuberculosis were cured. The symptoms disappeared. There was no local recurrence of tuberculosis, all plant bone were bone fusion, the fusion time was 5 to 7 months. The posterior convex correction rate was 80%.Conclusion In surgery of the thoracic and lumbar tuberculosis, the posterior fixation and anterior debridement and grafting may be made at the same time, in order to effectively stabilitze the diseased vertebrae, correct deformities in part, eradicate lesions and shorten the time in bed. |
| Key words: Spinal tuberculosis Thoracolumbar spinal Fixation |
