胸椎结核后路经椎弓根入路病灶清除椎弓根钉内固定钛网植骨融合术疗效评价

摘要

目的 对比前、后入路结核病灶清除植骨融合术对治疗胸椎结核的效果,探讨后路经椎弓根入路病灶清除椎弓根钉内固定钛网植骨融合术治疗的优势.方法 随机抽取接受前路手术与后路病灶清除联合钛网植骨融合椎弓根钉棒系统内固定的胸椎结核患者50例,按照手术适应证选择手术术式,分为前路手术组(前路组)和后路手术组(后路组),每组25例.后路组应用后路经椎弓根入路病灶清除椎弓根钉内固定钛网植骨融合术,前路组应用前路病灶清除植骨融合矫形内固定术.观察两组患者出血量、手术时间,后凸畸形矫正情况,神经功能恢复情况和术后并发症等方面的差异.结果 ①后路组手术时间和术中出血量明显低于前路组,Cobb'角平均矫正值明显高于前路组,差异有统计学意义(P0.05);③后路组患者术后并发症发生率明显低于前路组,差异有统计学意义(P 0. 05). ③Postoperative morbidity of the posterior path group was significantly lower than that of the anterior path group (P < 0. 05). Conclusion Posterior transpedicular debridement pedicle screws internal fixation titanium mesh bone graft fu-sion debridement has advantages,such as little injury,orthodontic correction,and bone graft fusion satisfaction. It is effective for curing thoracic spinal tuberculosis and shows more advantages compared to the anterior path method.