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对胸腰椎结核 34例行后路椎弓根器械内固定、一期或二期经前路病灶清除植骨术 ,术后抗结核药物治疗 9个月 ,并随访 3～5年。术后 2～ 4周患者腰背部疼痛缓解 ,4～ 8周红细胞沉降率基本正常。术后 4～ 6个月椎间植骨融合 ,脊柱后凸平均矫正 15°。抗结核药物治疗结束后随访 2～ 4年 ,结核病灶无复发。作者认为脊柱结核手术中应用椎弓根器械固定 ,术后能立即恢复脊柱稳定性 ,免除患者长期卧床之苦 ,且脊柱后凸矫正理想。经椎弓根内固定能够促进结核病灶愈合和提高脊柱结核治愈率
The thoracolumbar tuberculosis 34 cases of posterior pedicle instrumentation, one or two anterior debridement and bone grafting, postoperative anti-TB drug treatment for 9 months and followed up for 3 to 5 years. Patients with lower back pain relief 2 to 4 weeks after operation, 4 to 8 weeks erythrocyte sedimentation rate was normal. After 4 to 6 months interbody fusion, kyphosis average correction of 15 °. Anti-TB drug treatment after the follow-up of 2 to 4 years, no recurrence of tuberculosis. The authors believe that the application of spinal pedicle instrumentation in spinal tuberculosis surgery can immediately restore the stability of the spine after surgery, eliminating the pain of patients with long-term bed rest and correction of kyphosis ideal. Transpedicular internal fixation can promote the healing of tuberculosis and improve the cure rate of spinal tuberculosis