布鲁杆菌性脊柱炎的手术治疗

目的探讨布鲁杆菌性脊柱炎的诊断、手术方法及临床效果。方法对15例保守治疗症状缓解不明显的布鲁杆菌性脊柱炎患者采用手术治疗,14例行脊柱后路病灶清除内固定术,1例行脊柱后路内固定术。结果患者均获得随访,时间12~29个月。术后患者自诉腰痛明显缓解,神经症状有不同程度的恢复,影像学检查内固定位置良好,神经压迫解除。按JOA评分:治愈4例,显效7例,有效3例,无效1例。结论脊柱后路病灶清除内固定结合规范的药物治疗布鲁杆菌性脊柱炎,可以达到良好的治疗效果。

Surgical treatment of Brucella spondylitis

Objective To discuss the diagnosis, surgical methods and clinical effect of Brucella spondylitis. Methods Fifteen patients of Brucella spondylitis whose symptom had no obvious relief after conservative treatment underwent surgical treatment, including 14 cases with posterior focal cleaning and internal fixation, and 1 case with posterior fix-ation. Results All patients were followed up for 12~29 months. All patients had a back pain relieve after surgery, 13 patients with neurological symptoms had a different degree of recovery,all of internal fixation were good position on imaging examination, nerve compression were removed. According to JOA score:4 cured, 7 significant effect, 3 ef-fective, 1 invalid. Conclusions Posterior focal cleaning and internal fixation,combine with standardized drug thera-py in treatment of Brucella spondylitis, can achieve good treatment effect.