摘要
目的 :总结应用椎弓根系统内固定加前路植骨融合术治疗脊柱结核合并后凸畸形的临床效果。方法 :回顾分析 1997年 3月～ 2 0 0 0年 10月行椎弓根系统内固定加前路植骨融合术治疗的脊柱结核合并后凸畸形患者 44例 ,对于胸椎或胸腰椎结核 ,采用单切口双入路 ,以使病灶和内固定器隔开。观察内容包括植骨融合率、后凸畸形矫正状况及截瘫恢复情况。随访时间 1.5～ 4.5年 ,平均 3 .0年。结果 :术后 1年患者均显示骨性融合 ;术后后凸畸形平均矫正 2 6 .7°。1.5～ 4.5年后随访 ,后凸角度平均丢失 3 .0° ;2 8例合并截瘫患者中 ,症状改善 2 5例 ,改善率 89.3 %。结论 :后路椎弓根系统内固定加前路植骨融合能矫正后凸畸形 ,阻止后凸畸形进一步发展 ,加强脊柱的稳定性 ,促进截瘫恢复。
Objective: To evaluate the clinical effectiveness of posterior transpedicular screw system internal fixation and anterior interbody fusion procedure for treat kyphosis of spinal tuberculosis. Methods: From March 1997 to October 2000, posterior transpedicular screw system internal fixation and anterior interbody fusion procedures were used in 67 patients suffering from kyphosis of spinal tuberculosis in our department, 44 of them were involved in a longtime study follow-up for a mean of 3.0(1.5～4.5) years. Results: All patients showed successful interbody fusion. The average immediate postoperative correction of kyphosis angle was 26.7 degree, the average loss of correction was 3.0 degree at final follow-up. Among 28 cases of Pott's paraplegia, 25 were partly or completely recovered, the rate of recovery was 89.3%. Conclusion: Posterior transpedicular screw system internal fixation and anterior interbody fusion procedure were found helpful in strengthening the stability of the spine in spinal tuberculosis, providing successful interbody fusion and correcting the kyphosis, preventing progression of kyphosis.
出处
《中国矫形外科杂志》
CAS
CSCD
2003年第7期445-447,共3页
Orthopedic Journal of China
