一期前路病灶清除植骨Z-plate钛钢板内固定系统固定治疗胸腰椎结核

目的探讨胸腰椎“Z”形前路钢板内固定治疗胸腰椎结核的意义及疗效。方法总结2000-01~2004-06期间收治的32例胸腰椎结核患者,采用一期前路病灶清除、椎体间自体植骨并胸腰椎“Z”形前路钢板内固定治疗。结果经平均25个月的随访,32例患者脊椎结核均治愈,植骨全部骨性融合,融合时间平均5个月,后凸矫正角度17.50,无血、气胸、截瘫加重、脑脊液漏及内固定松动、断裂等手术并发症。结论采用一期经前路结核病灶清除、椎体间植骨融合以及“Z”形前路钛钢板内固定系统固定治疗胸腰椎结核具有重要意义及显著疗效。

Treatment of Thoracic-lumbar Vertebra Tuberculosis by Focus Eliminate Through Anterior Approach in First Intention and Fixation by Bone Transplantation and Interfixation of Z-plate

Objective To discuss the significance and effect of tuberculosis of thoracic-lumbar vertebra treated by interfixation with Z-plate in anterior approach. Methods Summarize was made in 32 cases of patient with tuberculosis of thoracic-lumbar vertebra from January 2000 to June 2004 ,All were treated by focus eliminate through anterior approach in first intention, autobody bone transplantation inter vertebra and interfixation with Z-plate in anterior approach. Results Followed up for a average of 25 months. 32 cases with tuberculosis of vertebra were cure, whole transplantation bones were bone fusion ,the fusion time was a average of 5 months. rectification angle of back protruding was 17.50,no surgery complication of hemothorax,pheumothorax, aggravation of paraplegia, leak of cerebrospinal fluid,looseness of interfixation and rupture . Conclusion Treatment of tuberculosis of thoracic-lumbar vertebra by focus eliminate through anterior approach in first intention, fixation by bone transplantation and interfixation of Z-plate have importance significance and marked effect.