Shi S S
General Hospital, Beijing Unit of People's Liberation Army.
Zhonghua Wai Ke Za Zhi. 1993 Nov;31(11):660-2.
Forty-three cases (44 joints) with tuberculosis of sacroiliac joints were treated surgically through 3 approaches: (1) Anterior approach was indicated for the cases with abscess in iliac fossa or with fistula in buttock, in 21 cases (22 joints). (2) Posterior approach was used for the cases with or without abscess and/or fistula of buttock, in 20 cases. (3) Antero-posterior combined approach was adopted for the cases with large abscess and/or fistula both at iliac fossa and buttock, in 2 cases (2 joints). Follow-up, ranging between 6 months and 16 years, presented no recurrent case of tuberculosis. In the cases with bony fusion, the symptoms disappeared altogether postoperatively, while the local pain still remained in the cases without bone grafting. The authors' opinions are as following: In the treatment of tuberculosis of sacroiliac joint, surgical approach should be chosen according to the location and size of abscess and the direction of fistula. Bony fusion is significant for elimination of symptoms.
43例（44个关节）骶髂关节结核患者通过3种手术入路进行治疗：（1）前路适用于髂窝有脓肿或臀部有瘘管的患者，共21例（22个关节）。（2）后路用于有或无臀部脓肿和/或瘘管的患者，共20例。（3）前后联合入路用于髂窝和臀部均有大脓肿和/或瘘管的患者，共2例（2个关节）。随访时间为6个月至16年，无结核复发病例。在发生骨融合的病例中，术后症状完全消失，而未进行植骨的病例仍有局部疼痛。作者的观点如下：在骶髂关节结核的治疗中，应根据脓肿的位置和大小以及瘘管的方向选择手术入路。骨融合对消除症状具有重要意义。
