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1例采用改良经椎弓根椎体刮除术及后路固定治疗的脊柱结核:一种新技术

A Case of Koch's Spine Treated with Modified Transpedicular Vertebral Curettage and Posterior Fixation: A Novel Technique.

作者信息

Golwala Paresh, Kapoor Chirag, Shah Malkesh, Merh Aditya, Kansagra Ankur

机构信息

Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.

出版信息

Cureus. 2016 Dec 6;8(12):e915. doi: 10.7759/cureus.915.

DOI:10.7759/cureus.915
PMID:28083459
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5218885/
Abstract

Tuberculosis (TB) is a chronic granulomatous infection caused by acid-fast mycobacterium tuberculosis bacilli. Spinal involvement occurs in less than one percent of TB. Spinal TB (Pott's disease) accounts for 50% of skeletal TB. Though it most commonly affects the thoracolumbar junction, it can occur at any level of the spine. Early diagnosis and treatment is mandatory in order to avoid neurological complications and spinal deformity. We report a case of a young female with tuberculosis of D12-L1 who was treated with posterior decompression using a modified transpedicular approach and posterior instrumentation with a successful outcome.

摘要

结核病(TB)是由抗酸结核分枝杆菌引起的慢性肉芽肿性感染。脊柱受累在结核病中发生率不到1%。脊柱结核(波特病)占骨结核的50%。虽然它最常累及胸腰段交界处,但可发生在脊柱的任何节段。为避免神经并发症和脊柱畸形,早期诊断和治疗至关重要。我们报告一例D12-L1结核的年轻女性病例,采用改良经椎弓根入路后路减压及后路内固定治疗,效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/5218885/37910f6e913d/cureus-0008-00000000915-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/5218885/96a43110ad65/cureus-0008-00000000915-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/5218885/ebbb2db2f656/cureus-0008-00000000915-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/5218885/b747adc449a2/cureus-0008-00000000915-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/5218885/288ef74a6064/cureus-0008-00000000915-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/5218885/2222b0e07a64/cureus-0008-00000000915-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/5218885/37910f6e913d/cureus-0008-00000000915-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/5218885/96a43110ad65/cureus-0008-00000000915-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/5218885/ebbb2db2f656/cureus-0008-00000000915-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/5218885/b747adc449a2/cureus-0008-00000000915-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/5218885/288ef74a6064/cureus-0008-00000000915-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/5218885/2222b0e07a64/cureus-0008-00000000915-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a89a/5218885/37910f6e913d/cureus-0008-00000000915-i06.jpg

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本文引用的文献

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Tuberculosis of spine: Research evidence to treatment guidelines.脊柱结核:治疗指南的研究证据
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Spinal tuberculosis: a review.脊柱结核:综述
J Spinal Cord Med. 2011;34(5):440-54. doi: 10.1179/2045772311Y.0000000023.
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Simultaneously anterior decompression and posterior instrumentation by extrapleural retroperitoneal approach in thoracolumbar lesions.经胸膜外腹膜后入路同期行胸腰段病变前路减压与后路内固定术
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Spinal tuberculosis (Pott's disease): its clinical presentation, surgical management, and outcome. A survey study on 694 patients.脊柱结核(波特氏病):其临床表现、外科治疗及结果。一项对694例患者的调查研究。
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The surgical and medical perioperative complications of anterior spinal fusion surgery in the thoracic and lumbar spine in adults. A review of 1223 procedures.成人胸腰椎前路脊柱融合手术的外科及围手术期并发症。对1223例手术的回顾。
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