一期病灶清除植骨内固定术治疗经皮椎体后凸成形术误治后的脊柱结核

目的 探讨一期病灶清除植骨内固定术治疗经皮椎体后凸成形术(PKP)误治后的脊柱结核的临床疗效.方法 将11例经PKP误治后的脊柱结核患者行一期病灶清除植骨内固定术.记录术后疼痛VAS评分、红细胞沉降率(ESR)、C-反应蛋白(CRP)、植骨融合情况、ODI及神经功能改善情况.结果 患者均获得随访,时间18～36个月.V...

One-stage deridement and bone grafting for spinal tuberculosis after percutaneous kyphoplasty mistreatment

Objective To investigate the clinical efficacy of one-stage deridement and bone grafting for spinal tuberculosis after percutaneous kyphoplasty(PKP)mistreatment.Methods Eleven patients with spinal tuberculosis who were mistreated by PKP underwent primary debridement and bone graft internal fixation.The postoperative pain VAS,erythrocyte sedimentation rate(ESR),C-reactive protein(CRP),bone graft fusion condition,ODI and neurological improvement were recorded.Results The patients were followed up for 18~36 months.The VAS at 1 month after operation and the last follow-up were lower than those before operation(P<0.05).ESR and CRP at 3 months after operation were lower than before operation(P<0.05).The ODI at 6 months after operation was lower than that before operation(P<0.05).One patient recovered from ASIA grade B to postoperative grade D;2 patients recovered from grade D to grade E.At 12 months of follow-up,all patients achieved gradeⅠfusion.Conclusions One-stage debridement and bone graft internal fixation for the treatment of spinal tuberculosis after PKP mistreatment can effectively control tuberculosis,improve pain symptoms,rebuild spinal stability,improve quality of life,and have satisfactory clinical effects.