【摘要】 目的 :探讨胸腰椎结核一期完成前路病灶清除、钛网植骨和Z plate钢板内固定的可行性和优越性。方法 :2 0 0 0年 8月～ 2 0 0 3年 12月采用该手术方法治疗胸腰椎结核共 2 6例 ,其中胸椎 (T3～ 10 ) 9例 ,胸腰椎 (T11～L2 ) 13例 ,腰椎 (L3～ 5) 4例。结果 :术后平均随访 13个月 ,植骨融合率 10 0 % ,后凸矫正角度平均 17°。 2 6例全部治愈 ,无 1例复发。结论 :本方法入路简单 ,所有操作在同一切口内完成 ;创伤小、出血少 ,不易损伤椎旁脏器及血管 ,安全性高 ;钛网配合Z plate使用 ,更有利子脊柱稳定性重建 ,提高植骨融合率和结核治愈率更多还原

【Abstract】 Objective:To explore the feasibility and advantage of one-stage anterolateral interbody fusion in titanium-net combined with Z-plate fixation for patients with tuberculosis of thoracic and lumbar spine.Method:There were 26 patients with tuberculosis of thoracic and lumbar spine,9 patients’ lesions located in thoracic spine,13 located in thoracic and lumbar spine and only 4 located in lumbar spine.Result:In an average of thirteen months follow-up,the rate of interbody fusion was 100%.The average kyphotic angle was 17 degree and all the patients were cured and there were no recurrence within follow-up period.Conclusion:One-stage anterolateral interbody fusion in titanium-net combined with Z-plate fixation provides rigid fixation and good stability for early fusion and facilitates tuberculosis kyphosis correction.It has such advantages as low injury,high safety,few blood loss and is deserved wide clinical use.更多还原