CAJ | 학술논문

目的：探讨改良Wiltse入路联合前路治疗胸、腰椎结核的临床疗效。方法：回顾性分析2008年7月～2013年5月，行改良Wiltse入路联合前路治疗胸、腰椎结核患者34例，其中胸椎5例，胸腰段7例，腰椎22例。结果：所有患者术后切口均1期愈合，结核临床治愈且无复发，椎体间融合均达到骨性融合。结论：在抗结核基础上1期行后路改良Wiltse入路椎弓根钉棒系统内固定联合前路病灶清除植骨融合手术，治疗胸、腰椎结核临床疗效满意。
목적：탐토개량Wiltse입로연합전로치료흉、요추결핵적림상료효。방법：회고성분석2008년7월～2013년5월，행개량Wiltse입로연합전로치료흉、요추결핵환자34례，기중흉추5례，흉요단7례，요추22례。결과：소유환자술후절구균1기유합，결핵림상치유차무복발，추체간융합균체도골성융합。결론：재항결핵기출상1기행후로개량Wiltse입로추궁근정봉계통내고정연합전로병조청제식골융합수술，치료흉、요추결핵림상료효만의。
Objective:To explore the clinical outcomes of thoracic and lumbar spinal tuberculosis through modified Wiltse approach combined anterior approach.Methods:From July 2008 to May 2013, 34 patients who suffered from thoracic and lumbar spine tuberculosis underwent surgical treatment via modified Wiltse approach combined anterior approach, including thoracic spine 5 cases, thoracolumbar spine 7cases, and lumbar spine 22 cases.Results:All the incision were one-stage healed , Tuberculosis were cured, and no recurrence happened, all the interbody graft got bone fusion.Conlc usion:After sufficient antituberculous treatment, one-stage pedicle screw fixation by modified Wiltse approach combined debridement and interbody bone graft fusion via anterior approach could achieved satisfactory clini-cal results for the treatment of thoracic and lumbar spinal tuberculosis.