Anterior radical debridement and interbody autografting with internal fixation for the treatment of thoracolumbar spinal tuberculosis

OU Yunsheng; et al

doi:10.13406/j.cnki.cyxb.2003.05.020

您当前的位置：

首页 >

文章列表页 >

Anterior radical debridement and interbody autografting with internal fixation for the treatment of thoracolumbar spinal tuberculosis

更新时间：2024-01-17

- Anterior radical debridement and interbody autografting with internal fixation for the treatment of thoracolumbar spinal tuberculosis
- Journal of Chongqing Medical University Issue 5, Pages: 617-619(2003)
- 作者机构：
  
  1. 重庆医科大学临床学院骨科
  2. 重庆医科大学临床学院骨科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2003.05.020
  CLC： R687.3
- Published：2003，
扫描看全文
[1]欧云生,安洪,权正学,蒋电明,柯银强.前路病灶彻底清除植骨内固定治疗胸腰椎结核[J].重庆医科大学学报,2003(05):617-619.

OU Yunsheng, et al. Anterior radical debridement and interbody autografting with internal fixation for the treatment of thoracolumbar spinal tuberculosis. [J]. Journal of Chongqing Medical University (5):617-619(2003)
[1]欧云生,安洪,权正学,蒋电明,柯银强.前路病灶彻底清除植骨内固定治疗胸腰椎结核[J].重庆医科大学学报,2003(05):617-619. DOI： 10.13406/j.cnki.cyxb.2003.05.020.

OU Yunsheng, et al. Anterior radical debridement and interbody autografting with internal fixation for the treatment of thoracolumbar spinal tuberculosis. [J]. Journal of Chongqing Medical University (5):617-619(2003) DOI： 10.13406/j.cnki.cyxb.2003.05.020.

摘要

目的 :探讨病灶彻底清除椎间植骨融合内固定治疗胸腰椎结核的疗效及结核病灶内植入内固定器械的安全性。方法 :全组 16例

平均 4 5岁。其中胸椎结核 7例

胸腰段结核 5例

腰椎结核 4例。采用经胸或腹膜外入路

彻底清除病灶

髂骨椎间植骨融合

同期内固定。应用TSRH 8例

Ventrofix 3例

Z -plate 5例

术后卧床 8周

不需支具外固定

抗结核治疗 12～ 18月。结果 :平均随访 19个月

疗效满意

伤口均一期愈合

脊柱后凸畸形改善

矫正角度 13°;无植骨块松动脱落

无内固定器械断裂

结核病灶愈合

无结核局部复发

无窦道形成。结论 :彻底病灶清除椎间植骨并内固定

可重建脊柱的稳定性

利于结核病灶的稳定与修复 ;在结核病灶内植入内固定器械是安全可行的。

Abstract

Objective:To evaluate the clinical efficacy of radical debridement and spinal fusion with internal fixation and to discuss the safety of anterior instrumentation in surgical management in thoracolumbar spinal tuberculosis.Methods:There were 16 cases in this series.The mean age was 45 years.16 cases of thoracolumbar spinal tuberculosis were radical focus debrided and grafted with iliac bone.8 cases were fixed with TSRH

3 cases with Ventrofix and 5 cases with Z-plate.No brace was needed after surgery.Results:The period of follow-up lasted 19 months.All patients had good results.The incision of all cases were cured for the first term.No case had sinus.13 degree of the kyphosis deformity was improved without associated complication.All patients had no recurrence of tuberculosis.Conclusion:The results show that the radical focal debridement and anterior bone transplantation with internal fixation can reconstruct the spinal stability and it is safe to implant anterior instrumentation in tuberculosis foci.

关键词

脊柱结核脊柱融合术骨移植内固定

Keywords

spinal tuberculosisSpinal fusionBone transplantationFixationinternal

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Anterior radical debridement and interbody autografting with internal fixation in the treatment of cervical spinal tuberculosis with kyphosis deformity

Posterior transpedicular screw system internal fixation and anterior radical focus debridement with interbody autografting in the treatment of lumbar and sacrum spinal tuberculosis with kyphosis deformity

Risk factors for poor wound healing in patients undergoing posterior thoracolumbar tuberculosis surgery: A single-center retrospective observational cohort study

Surgical treatment of posterior approach for spondylodiscitis after lumbar discectomy

A scoring system for rapid outpatient differential diagnosis of spinal metastases（SM） and spinal tuberculosis（STB）

Related Author

高仕长

刘渤

OU Yun-sheng

et al

蒋电明

安洪

刘渤

孟纯阳

Related Institution

Department of Orthopedics,the First Affiliated Hospital,Chongqing Medical University

重庆医科大学附属第一医院骨科

Department of Orthopedics，The First Affiliated Hospital of Chongqing Medical University

⁰