单节段布氏杆菌脊柱炎病灶清除经病椎固定融合
DOI:
作者:
作者单位:

首都医科大学附属北京地坛医院

作者简介:

通讯作者:

中图分类号:

基金项目:


Efficacy analysis of disease vertebral nailing and diseased intervertebral fixation in the treatment of single-segment lumbar brucellosis spondylitis
Author:
Affiliation:

Beijing Ditan Hospital,Capital Medical University

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    摘要:[目的] 探讨通过后路行病灶清除、病椎置椎弓根螺钉、病椎间植骨融合内固定手术治疗腰椎单节段布氏杆菌脊柱炎的临床疗效。[方法] 回顾性分析2016年11月~2019年12月,21例腰椎单节段布氏杆菌脊柱炎患者,男性15例,女性6例,均采用一期腰椎后路病灶清除、病椎置椎弓根螺钉、病椎间植骨融合内固定术。记录术后植骨融合情况及并发症发生情况。同时,比较手术前后VAS、JOA、ODI及ESR、CRP来评估临床疗效。[结果] 术后2周及术后1年,VAS、JOA、ODI、ESR、CRP与术前比较均有统计学差异(P均<0.001),并且,术后1年,VAS、JOA、ODI、ESR、CRP与术后2周比较均有统计学差异(P均<0.001)。末次随访时,所有患者均获得骨性融合,无内固定松动、断裂等情况发生,并且无复发。[结论] 腰椎单节段布氏杆菌脊柱炎行后路病灶清除、病椎置椎弓根螺钉、病椎间植骨融合内固定是安全可行的。

    Abstract:

    Abstract: [Objective] To discuss the clinical efficacy of disease vertebral nailing and diseased intervertebral fixation in the treatment of single-segment lumbar brucellosis spondylitis. [Methods] A retrospective analysis of 21 patients with single-segment lumbar brucellosis spondylitis from November 2016 to December 2019, including 15 males and 6 females, aged 42 to 64 years, were used one-stage posterior lumbar lesion removal, disease vertebral nailing and diseased intervertebral fixation. The bone graft fusion rate and complication rate after surgery were recorded. At the same time, compare the visual analogue scale (VAS) the japanese orthopaedic association scores (JOA), the oswestry disability index (ODI), erythrocyte sedimentation rate (ESR) and C-Reactive protein (CRP) before and after the operation to evaluate clinical efficacy. [Results] Two weeks after surgery and one year after surgery, VAS, JOA, ODI, ESR, and CRP were significantly different from those before surgery (P all<0.001). Moreover, VAS, JOA, ODI, ESR, and CRP were statistically different at 1 year after operation compared with 2 weeks after operation (P all<0.001). At the last follow-up, all patients obtained bony fusion and no recurrence. [Conclusions] It is safe and feasible to perform one-stage posterior lumbar lesion removal, disease vertebral nailing and diseased intervertebral fixation.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2021-08-26
  • 最后修改日期:2022-04-05
  • 录用日期:2022-06-30
  • 在线发布日期:
  • 出版日期: