CAJ | 학술논문

目的：回顾性总结研究采用经前路一期病灶清除、钛笼植骨结合内固定方法治疗脊柱胸腰段结核的效果。方法胸腰段脊柱结核患者21例，术前经标准抗结核方案治疗后，采用经前路一期病灶清除、钛网植骨结合内固定的术式治疗，术后继续抗结核治疗、营养支持、适当功能锻炼。定期随访观察患者术后各项指标（神经症状、并发症）的恢复情况等。结果经过平均19个月随访，21例患者脊柱结核均被治愈，无全身及局部复发，且术后疼痛消失，畸形明显纠正，内固定物无松动，植骨融合好，神经症状明显缓解，未见明显手术并发症。结论经前路一期病灶清除钛笼植骨结合内固定是治疗胸腰段结核的安全、有效的方法。
목적：회고성총결연구채용경전로일기병조청제、태롱식골결합내고정방법치료척주흉요단결핵적효과。방법흉요단척주결핵환자21례，술전경표준항결핵방안치료후，채용경전로일기병조청제、태망식골결합내고정적술식치료，술후계속항결핵치료、영양지지、괄당공능단련。정기수방관찰환자술후각항지표（신경증상、병발증）적회복정황등。결과경과평균19개월수방，21례환자척주결핵균피치유，무전신급국부복발，차술후동통소실，기형명현규정，내고정물무송동，식골융합호，신경증상명현완해，미견명현수술병발증。결론경전로일기병조청제태롱식골결합내고정시치료흉요단결핵적안전、유효적방법。
Objective To study the effect of one stage, anterior debridement, titanium cage fusion with bone grafting com-bined with internal fixation in treating thoracolumbar spinal tuberculosis.Methods All the 21 patients with thoracolumbar spinal tu-berculosis were treated by standard anti-tuberculosis therapy before operation.Then one stage, anterior debridement, titanium cage fu-sion with bone grafting combined with internal fixation was implemented, anti-tuberculosis treatment and functional exercise were con-tinued.Postoperative lumbar back pain degree, recovery, neurological symptoms, complications in all patients were observed. Results After an average of 19 months follow-up,21 patients with spinal tuberculosis were cured, no systemic and local recurrence, back pain disappears, spinal deformity corrected effectively, no loosening of internal fixation, bone graft fused well, neurologic symp-toms eased significantly, and no obvious complications.Conclusions Anterior debridement, titanium cage fusion with bone grafting combined with internal fixation for primary surgical management is an effective and safe method in treating thoracolumbar spinal tuber-culosis.