摘要
[目的]探讨胸腰椎脊柱结核伴截瘫的手术治疗方法和疗效。[方法]总结30例胸腰椎结核伴截瘫患者,采用前路病灶清除、椎管减压、椎间植骨并前路固定的手术治疗,术后抗结核治疗18个月。[结果]全部病例随访平均19个月,30例结核全部治愈,其中有2例复发,植骨融合29例,后凸矫正角度12°,神经功能恢复优良率90%。[结论]经前路病灶清除、椎管减压、椎间植骨前路内固定术治疗胸腰椎脊柱结核伴截瘫,能获得较好效果。
[ Objective ] To evaluate the methods of operation and clinic effective of thoracolumbar spinal tuberculosis with paraplegia. [ Method] Thirty cases of thoracolumbac spinal tuberculosis with paraplegia had been treated with primary anterior debridement, decompression of spinal cord, interbody graft bone, and interbody fixation, anti-tuberculosis drug was taken at 18 monthes offer the operation. [ Result ] Thirty cases were followed-up for an overage of 19 months and were healed, in which 2 cases recurrence, 29 cases spinal fusion of graft bone, 12° of kyphosis correction had been gained, the neuropathic ruction had gained improvement excellently （90%）. [ Conclusion] It had gained good outcome that operation of the primary anterior debridement decompression of spinal cand interbody graft bone and interbody fixation to treat thoracolumbac spinal tuberculosis with pacaplegia.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第1期23-24,共2页
Orthopedic Journal of China
关键词
胸腰椎结核
截瘫
前路手术
Thoracolumbar spinal tuberculosis
Pacaplegia
Anterior operation
