摘要
目的观察病灶切除椎体间植骨融合治疗脊柱结核的疗效。方法全组78例,男36例,女42例;年龄15～72岁,平均47岁。病变部位颈椎7例,胸椎29例,腰椎34例,腰骶椎8例。病变涉及2个节段29例,3个节段41例,4个节段以上8例。术前后凸畸形成角为13°～92°,平均34°。手术采用病灶彻底切除一期椎体间植骨融合,使用自体肋骨22例,髂骨44例,髂骨加肋骨12例。结果平均随访5.5年,优良率为98.7%,植骨融合率为97.4%,术后后凸畸形成角为5°～62°,平均22°。结论病灶彻底切除椎体间一期植骨融合,有利于恢复脊柱的即刻稳定性,骨融合率高,可纠正及预防脊柱后凸畸形,减少晚期腰背痛的发生。
Objective To evaluate the radical debridement and anterior spinal fusion with strut graft for the treatment of spinal tuberculosis. Methods There were 78 cases in this series, 36 males and 42 females. The age was from 15 to 72 years, the mean was 47 years. The involved vertebral bodies were at 2 segments in 29 patients, at 3 segments in 41 patients and at more than 4 segments in 8 patients. The kyphosis was 13～92 degrees with a mean of 34 degrees. Radical debridement and spinal fusion with strut graft were used in all patients. In addition, the spine was instrumented in 3 cases for further stabilization. Strut grafts consist of ribs in 22 cases, iliums in 44 cases, iliums and ribs in 12 cases. Results The period of follow up lasted from 1 to 16 years with a mean of 5.2 years. 98.7% of the patients have good results and 97.4%have solid bony fusion. The kyphosis deformity was 5～62 degrees, the mean was 22 degrees. Conclusion The present results show that the radical debridement and anterior fusion with strut graft was effective for restoring the local anatomical alignment and the stability with high rate of solid bony fusion and lower rate of postoperative low back pain.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
2002年第1期28-30,共3页
Chinese Journal of Orthopaedics
关键词
脊柱结核
脊柱融合术
骨移植
治疗
Tuberculosis,spinal
Spinal fusion
Bone transplantation
