前路病灶清除椎间植骨并后路椎弓根系统固定治疗多节段胸腰椎结核

目的探讨前路病灶清除并后路椎弓根系统固定治疗多节段胸腰椎结核的临床效果。方法对9例多节段胸腰椎结核患者行前路病灶清除并后路椎弓根系统内固定治疗。结果全部患者随访0.5～4年,切口均Ⅰ期愈合。临床症状消失,血沉恢复正常。植骨融合良好,无钉棒松动、断裂。2例合并不全瘫患者术后12个月神经功能完全恢复。结论对多节段胸腰椎结核行前路病灶清除并后路椎弓根系统固定治疗的临床疗效满意。

Anterior radical debridement of focus and interbody bone grafting with posterior pedicle screw internal fixation for multi-segmental thoracic and lumbar tuberculosis

Objective To evaluate the clinical efficacy of anterior radical debridement of focus and bone grafting with posterior pedicle screw internal fixation for multi-segmental thoracic and lumbar tuberculosis.Methods Nine patients with multi-segmental thoracic and lumbar tuberculosis were treated by anterior radical debridement of focus and bone grafting with posterior pedicle screw system internal fixation.Results All the cases were followed up for 0.5-4 years.All the incisions were healing by first intention.Th...