CAJ | 학술논문

目的：探讨小切口椎弓根螺钉固定联合经椎间孔入路清创融合治疗原发椎间隙感染的临床效果。方法2010年1月～2013年6月，采用该方法治疗18例原发椎间隙感染患者。观察手术时间、出血量、X线曝光次数和融合率。比较手术前后视觉模拟量表（ visual analog scale ，VAS）评分和Oswestry功能障碍指数（ Oswestry disability index ， ODI）。结果患者平均手术时间96．5 min、平均出血量160．6 mL、平均X线曝光次数为5．6次。所有患者随访6～25月（平均13．6月），手术后均得到更好的VAS 评分及ODI，且差异具有统计学意义（ P＜0．001）。植骨融合率100％，无伤口感染和复发。结论该术式治疗原发椎间隙感染的临床疗效满意。具有创伤小、操作方便、易于掌握等优势。
목적：탐토소절구추궁근라정고정연합경추간공입로청창융합치료원발추간극감염적림상효과。방법2010년1월～2013년6월，채용해방법치료18례원발추간극감염환자。관찰수술시간、출혈량、X선폭광차수화융합솔。비교수술전후시각모의량표（ visual analog scale ，VAS）평분화Oswestry공능장애지수（ Oswestry disability index ， ODI）。결과환자평균수술시간96．5 min、평균출혈량160．6 mL、평균X선폭광차수위5．6차。소유환자수방6～25월（평균13．6월），수술후균득도경호적VAS 평분급ODI，차차이구유통계학의의（ P＜0．001）。식골융합솔100％，무상구감염화복발。결론해술식치료원발추간극감염적림상료효만의。구유창상소、조작방편、역우장악등우세。
Objective To evaluate the clinical effect of minimal access fixation combined with transforaminal debridement and fusion on the treatment of primary infection of intervertebral space .Methods From January 2010 to June 2013, 18 patients of primary infection of intervertebral space were treated by minimal access fixation combined with transforaminal debridement and fusion.The operation time, intra-operative blood loss, times of X-ray exposure and fusion rates were recor-ded.visual analog scale(VAS) scores and Oswestry disability index(ODI) were compared between preoperation and postoper-ation.Results The average operation time was 96.5 min, the average blood loss was 160.6 mL, the average times of X-ray exposure was 5.6.All patients were followed up for 6-25 months (mean 13.6 months.The VAS score and ODI of postopera-tion were better than those before operation , and the difference was statistically significant (P<0.01).The intervertebral fu-sion rate was 100%.There was neither wound infection nor recurrence during the follow-up.Conclusion The application of the minimal access fixation combined with transforaminal debridement and fusion for the treatment of primary infection of inter -vertebral space can get satisfactory clinical outcomes .The technique has the advantages of less trauma , simple manipulation, and easy to master .