一期后路病灶清除椎间植骨融合内固定术治疗跳跃型胸腰椎结核

目的评价一期后路病灶清除椎间植骨融合内固定术治疗跳跃型胸腰椎脊柱结核的临床疗效。方法回顾性分析2005年9月~2009年7月收治的脊柱结核患者539例,其中行一期后路病灶清除植骨融合内固定术治疗的跳跃型胸腰椎脊柱结核患者共13例（男9例,女4例）。术前平均后凸角21.5;°Frankel分级为B级1例,C级4例,D级6例,E级2例。入院后经个体化抗结核治疗后手术。记录术前、术后血沉、后凸角、神经功能评估和植骨融合情况。术后继续抗结核治疗12~18个月。结果术后平均随访24.3个月,全部患者术后后凸角、神经功能改善,血沉正常。术后6~12个月均获得植骨融合。结论一期后路病灶清除椎间植骨融合内固定术对于胸腰椎跳跃型脊柱结核患者是一种安全有效的治疗方法。

Single-stage posterior debridement, interbody bone grafting, internal fixation in treatment of thoracic and lumbar multilevel noncontiguous spinal tuberculosis

Objective To evaluate the efficacy of surgical management single-stage posterior debridement,interbody bone grafting,internal fixation in the treatment of the thoracic and lumbar multilevel noncontiguous spinal tuberculosis.Methods A consecutive series of 539 cases of spinal tuberculosis from September 2005 to July 2009 were studied retrospectivly.Of all the patients,13 patients(9 male and 4 female) with thoracic and lumbar multilevel noncontiguous spinal tuberculosis who underwent single-stage posterior de...