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

OU Yunsheng; et al

doi:10.13406/j.cnki.cyxb.2005.02.034

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

更新时间：2024-01-17

- Anterior radical debridement and interbody autografting with internal fixation in the treatment of cervical spinal tuberculosis with kyphosis deformity
- Journal of Chongqing Medical University Issue 2, Pages: 282-284(2005)
- 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.2005.02.034
  CLC： R687.3
- Published：2005，
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[1]欧云生,安洪,权正学,蒋电明,刘渤,高仕长.一期病灶清除植骨内固定治疗颈椎结核并后凸畸形[J].重庆医科大学学报,2005(02):282-284.

OU Yunsheng, et al. Anterior radical debridement and interbody autografting with internal fixation in the treatment of cervical spinal tuberculosis with kyphosis deformity. [J]. Journal of Chongqing Medical University (2):282-284(2005)
[1]欧云生,安洪,权正学,蒋电明,刘渤,高仕长.一期病灶清除植骨内固定治疗颈椎结核并后凸畸形[J].重庆医科大学学报,2005(02):282-284. DOI： 10.13406/j.cnki.cyxb.2005.02.034.

OU Yunsheng, et al. Anterior radical debridement and interbody autografting with internal fixation in the treatment of cervical spinal tuberculosis with kyphosis deformity. [J]. Journal of Chongqing Medical University (2):282-284(2005) DOI： 10.13406/j.cnki.cyxb.2005.02.034.

摘要

目的:探讨一期病灶清除植骨内固定治疗并发后凸畸形颈椎结核的临床疗效。方法:全组14例

平均32岁。其中C2 1例

C3 2例

C42例

C4～54例

C5～63例

C6～71例

C7T11例。经右侧颈前入路

撑开病变椎体

矫正颈椎后凸畸形

彻底清除病灶

解除脊髓压迫

髂骨椎间植骨融合

一期内固定。应用Orion内固定5例

Zephir4例

Codman4例;C2 结核行后路髂骨植骨C1～2 融合Apofix内固定。术后颈围或头颈胸石膏外固定3月

抗结核治疗12～18月。结果:平均随访2 1个月

疗效满意

结核病灶愈合;颈椎后凸畸形得以矫正

颈椎生理弧度得以恢复

术后随访未见矫正角度明显丢失;神经功能恢复良好;植骨于术后3～6月融合

无内固定器械断裂

无结核局部复发。结论:一期病灶清除植骨内固定治疗颈椎结核

可恢复病椎高度、矫正后凸畸形、解除脊髓压迫、重建颈椎即刻稳定性

利于结核病灶的稳定与愈合。

Abstract

Objective:To evaluate the clinical efficacy of radical debridement and spinal fusion with internal fixation in surgical management of cervical spinal tuberculosis with kyphosis deformity.Methods:There were 14 cases in this series.The mean age was 32 years.14 cases of cervical spinal tuberculosis were radical focus debrided and grafted with iliac bone.5 cases were fixed with Orion

4 cases with Zephir

4 cases with Codman and 1 case with Apofix.The brace was needed for 3 months after surgery.Results:The period of follow-up lasted 21 months.All patients achieved satisfactory results

and showed successful interboby fusion within 3～6 months.The kyphosis deformity were corrected and the normal cervical lordoisis were maintained without associated complication.The neural symptoms were improved.All patients had no recurrence of tuberculosis.There were no plates and screws complications.Conclusion:It is safe and effective to treat cervical spinal tuberculosis by anterior radical debridement with primary autograft and internal fixation

and it is a good treatment option with high correction rate in local kyphosis deformity

high fusion

and low complication rate.

关键词

脊柱结核颈椎脊柱融合术骨移植内固定

Keywords

spinal tuberculosisCervical spineSpinal fusionBone transplantationinternal fixation

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