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[结核性脊柱炎的外科治疗结果]

[Results of the surgical treatment of tuberculous spondylitis].

作者信息

Meurer A, Eysel P, Heine J

机构信息

Orthopädische Universitätsklinik Mainz.

出版信息

Z Orthop Ihre Grenzgeb. 1995 May-Jun;133(3):227-35. doi: 10.1055/s-2008-1039442.

Abstract

Between 1972 and 1992 91 patients with tuberculous spondylitis were treated in the orthopaedic departments of the Universities of Münster and Mainz. The age of the patients at the time of operation was 41 years and 7 months on the average. The tuberculous spondylitis was mostly located in the lower dorsal and upper lumbar spine. Indications for a surgical treatment were the acute spondylitis, the deformation of the spine and imminent or already existing neurological deficiencies. The number of removed vertebrae averaged between 2 and 7. For the ventral spondylodesis we mostly used iliac or tibial bone-grafts. The own results are discussed in relation to the literature, especially the different therapeutic regimes are regarded.

摘要

1972年至1992年间,明斯特大学和美因茨大学的骨科共治疗了91例结核性脊柱炎患者。患者手术时的平均年龄为41岁零7个月。结核性脊柱炎大多位于下胸椎和上腰椎。手术治疗的指征为急性脊柱炎、脊柱畸形以及即将出现或已经存在的神经功能缺损。切除的椎体数量平均在2至7个之间。对于前路椎体融合术,我们大多使用髂骨或胫骨骨移植。本文结合文献讨论了我们自己的治疗结果,尤其考虑了不同的治疗方案。

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