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为了探讨应用后路椎弓根系统内固定加椎板植骨融合治疗脊柱结核合并截瘫的临床效果 ,观察了解放军第 30 9医院行后路椎弓根系统内固定加椎板植骨融合治疗脊柱结核合并截瘫的患者 17例。随访时间 1 5～ 4年 ,平均 2年。结果显示 ,术后 2～ 3周 ,16例病人的神经症状开始恢复。术后 6个月复查 ,完全恢复 9例 ,不完全恢复 7例。 7例不完全恢复者最近一次随访 2例完全恢复 ,ASIA神经功能分级 3例达D级 ,2例达C级 ,截瘫恢复率 92 9%。提示 ,后路椎弓根系统内固定加椎板植骨融合可加强脊柱的稳定性 ,促进截瘫恢复 ,防止复发。
To investigate the clinical effect of posterior pedicle screw fixation and laminoplasty fusion in the treatment of spinal tuberculosis complicated with paraplegia, we observed the posterior pedicle screw fixation and lamina fusion in the 30th Hospital of People’s Liberation Army Tuberculosis patients with paraplegia in 17 cases. Follow-up time 1 5 ~ 4 years, an average of 2 years. The results showed that after 2 to 3 weeks, 16 patients with neurological symptoms began to recover. 6 months after the review, complete recovery in 9 cases, incomplete recovery in 7 cases. Among the 7 cases with incomplete recovery, 2 cases recovered completely in the last follow-up. There were 3 cases of ASIA grade D, 2 cases of C grade and paraplegic recovery rate 92.9%. Tip, posterior pedicle screw fixation and laminoplasty fusion can enhance the stability of the spine, and promote paraplegia recovery, to prevent recurrence.