Garbuz A E, Tikhodeev S A, Oleĭnik V V
Probl Tuberk. 1991(4):38-41.
The developed variants of free and non-free vertebral autoplasty are considered to be optimal in the surgical management of tuberculous spondylitis. Their application is associated with the damage to vertebral bodies, the degree of their destruction, the extent of intervertebral diastasis, and the process site. Proper repair of the vertebral defects, not exceeding 5 cm, is achieved by free autografts having the maximum area of supporting ends. With extensive intervertebral diastasis, it is recommended to use non-free grafts taken from a rib or the upper flaring portion of the ilium and to overlap the plasty area with the rib periosteum on a feeding pedicle. In terms of significance order, the prognostic criteria for plasty outcomes are congruence of the graft ends with the grooves formed in the vertebral bodies; the extension of a suppurative process in the adjoining transplant tissues, adequate correction of intervertebral diastasis; and the length of transplants.
游离和非游离椎体自体成形术的改进变体被认为是结核性脊柱炎手术治疗中的最佳方法。它们的应用与椎体损伤、破坏程度、椎间间隙大小以及病变部位有关。通过具有最大支撑端面积的游离自体移植物可实现对不超过5厘米的椎体缺损的适当修复。对于广泛的椎间间隙增宽，建议使用取自肋骨或髂骨上扩大部分的非游离移植物，并在滋养蒂上用肋骨骨膜覆盖成形区域。就重要性顺序而言，成形术结果的预后标准是移植物端与椎体中形成的凹槽的一致性；相邻移植组织中化脓性病变的扩展情况、椎间间隙增宽的充分矫正以及移植物的长度。
