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[使用陶瓷植入物治疗结核性脊柱炎]

[Surgical treatment of tuberculous spondylitis using ceramic implants].

作者信息

Gruntovskiĭ T Kh, Golka G G, Tantsura A V

出版信息

Probl Tuberk. 1998(5):34-6.

PMID:9866396
Abstract

The use of osseous grafts in the treatment of tuberculous spondylitis is associated with substantial shortcomings, requiring a long-term bedside regimen, followed by fixation of the spine with a rigid corset. The application of ceramic implants allowed one to attack several tasks: to provide primary stabilization of the vertebral segment, to exclude corset fixation, to reduce a postoperative period and surgical traumatism by refusing to take an autograft. Forty nine operations were performed in patients aged 23-65 years. In the early postoperative period neurological disorders completely disappeared in 7 patients, the remaining has significant positive changes. Complete osteoceramic adhesion occurred 2-4 months later. Following 2 patients, 26 patients were stricken off the disability register. The remaining patients continued to be disabled (7 and 16 patients had disability groups 2 and 3, respectively) due to significant contaminant diseases.

摘要

在结核性脊柱炎的治疗中使用骨移植存在诸多严重缺点,需要长期卧床治疗,随后用硬质束腰进行脊柱固定。陶瓷植入物的应用可以解决多个问题:提供椎体节段的初步稳定,无需束腰固定,通过不采用自体移植来缩短术后恢复时间并减少手术创伤。对年龄在23至65岁的患者进行了49例手术。术后早期,7例患者的神经功能障碍完全消失,其余患者有明显的积极变化。术后2至4个月出现完全的陶瓷骨粘连。随访2年后,26例患者不再被列为残疾。其余患者由于患有严重的伴随疾病,仍处于残疾状态(分别有7例和16例患者属于2级和3级残疾)。

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