| 一期前路病灶清除植骨融合内固定治疗胸腰椎结核 |
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| 引用本文： | 雷哲,母心灵,王祥善. 一期前路病灶清除植骨融合内固定治疗胸腰椎结核[J]. 中国现代手术学杂志, 2009, 13(1) |
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| 作者姓名： | 雷哲 母心灵 王祥善 |
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| 作者单位： | 河南省郑州市骨科医院脊柱科,郑州,450052 |
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| 摘 要： | 目的总结一期前路病灶清除植骨融合内固定治疗胸腰椎结核的经验。方法采用一期前路病灶清除、自体植骨、前路内固定治疗胸腰椎结核19例。结果平均随访15个月,脊髓神经功能得到不同程度地恢复,术后平均5.2个月达满意植骨融合,无内固定失败和脊柱结核病灶复发,后凸畸形矫正满意,Cobb角平均23.4°,平均矫正21.3°。结论一期前路病灶清除植骨融合内固定术可使病变节段在术后即刻重建稳定性,为脊柱融合和结核病灶的静止提供良好的力学环境,是外科治疗脊柱结核安全、有效的方法。
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| 关 键 词： | 结核 脊柱 脊柱融合术 胸椎 腰椎 病灶感染 内固定器 |
One-stage Surgical Management of Anterior Debridement and Interbody Autografting with Internal Fixation for Thoracolumbar Spinal Tuberculosis |
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| LEI Zhe,MU Xin-ling,WANG Xiang-shan. One-stage Surgical Management of Anterior Debridement and Interbody Autografting with Internal Fixation for Thoracolumbar Spinal Tuberculosis[J]. Chinese Journal of Modern Operative Surgery, 2009, 13(1) |
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| Authors: | LEI Zhe MU Xin-ling WANG Xiang-shan |
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| Affiliation: | LEI Zhe; MU Xin-ling; WANG Xiang-shan(Department of Spine Surgery; Zhengzhou Orthopaedic Hospital; Zhengzhou 450052; Henan; China); |
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| Abstract: | Objective To summarize the clinical experience of one-stage anterior radical debridement and interbody autografting with internal fixation for thoracolumbar spinal tuberculosis.Method Nineteen cases suffered thoracolumbar spinal tuberculosis were treated by one-stage anterior radical debridement,interbody autografting and internal fixation.Results Within average 15 months followed-up,no associated complications such as internal fixation failure or focus recurrence occurred in all patients.The outcome showed... |
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| Keywords: | tuberculosis spinal spinal fusion thoracic vertebrae lumbar vertebrae focal infection internal fixators |
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