One-stage surgical management for children with spinal tuberculosis by anterior decompression and posterior instrumentation
One-stage surgical management for children with spinal tuberculosis by anterior decompression and posterior instrumentation
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DOI：
10.1007/s00264-009-0758-5
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发表时间：
2009-10-01
影响因子：
2.7
通讯作者：
Wang, Qi
中科院分区：
文献类型：
--
作者：
Huang, Qi-Shan;Zheng, Changkun;Wang, Qi
本研究的目的是评估一期手术治疗儿童脊柱结核的疗效，包括前路减压、植骨、后路内固定和融合。2002年1月至2006年12月，对15例脊柱结核患者行一期后路内固定加前路病灶清除术。随访12-48个月，平均30.3个月。患者的平均神经功能恢复为Frankel等人的0.93级（截瘫7：179-192，1969）。平均术前后凸36度（范围19-59度），最终随访时平均术后后凸23度（范围15-38度）。在最终随访时，观察到脊柱后凸的最小进展，平均脊柱后凸为27度（范围16-40度）。最终随访时平均矫正丢失4度。前路减压植骨后路内固定融合一期手术治疗儿童脊柱结核是可行和有效的。
The goal of this study was to assess the efficacy of one-stage surgical management for children with spinal tuberculosis by anterior decompression, bone grafting, posterior instrumentation, and fusion. Between January 2002 and December 2006, 15 cases with spinal tuberculosis were treated with one-stage posterior internal fixation and anterior debridement. All cases were followed-up for an average of 30.3 months (range 12-48 months). The average neurological recovery in the patients was 0.93 grades on the scale of Frankel et al. (Paraplegia 7: 179-192, 1969). The average preoperative kyphosis was 36 degrees (range 19-59 degrees), and the average postoperative kyphosis was 23 degrees (range 15-38 degrees) at final follow-up. At final follow-up, minimal progression of kyphosis was seen, with an average kyphosis of 27 degrees (range 16-40 degrees). An average loss of correction of 4 degrees was seen at final follow-up. One-stage surgical management for children with spinal tuberculosis by anterior decompression, bone grafting, posterior instrumentation, and fusion was feasible and effective.