摘要
目的探讨前路病灶清除同期植骨内固定治疗颈椎结核的可行性和效果.方法采用前路病灶清除同期植骨内固定术治疗合并或不合并颈脊髓损伤的颈椎结核患者22例.结果所有患者经10～72个月(平均28个月)随访,结核病灶治愈,植骨块融合(平均融合时间4.2个月),生理曲度得以恢复,颈椎后凸畸形得以矫正(术前平均20.5°,术后平均3.5°);神经功能均有改善,JOA评分提高2～6分(平均4.7分),改善率(Hirabashi公式)70.65%.结论前路病灶清除同期植骨内固定术是治疗颈椎结核安全有效的手术方法.
Objective To study the feasibility and clinical elleet ol anterior loci debridement and Done autogralt with internal fixation for treating cervical tuberculosis. Methods Anterior foci debridement and bone autograft with internal fixation was performed in patients suffering from cervical tuberculosis with or without spinal cord injury. Results All eases healed after follow-up for an average of 28 months （ 10 -72 months ） and got solid fusion in average 4.2 months. Kyphosis deformity was corrected from 20. 5°preoperatively to 3.5° postoperatively. The normal cervical lordosis was maintained and the neural symptoms were improved. The JOA score was increased by 2 - 6, 4.7 on average and the improvement rate （ accordimg to Hirabashi formula ） was 70. 65%. Conclusions Anterior foci debridement and autograft with internal fixation is a safe and effective method for treating cervical tuberculosis.
出处
《临床骨科杂志》
2005年第4期295-297,共3页
Journal of Clinical Orthopaedics
关键词
脊柱结核
颈椎
脊柱融合术
内固定器
spinal tuberculosis
cervical vertebrae
spinal fusion
internal fixation
