临床症状轻微型重度结核性脊髓压迫症One-stage corpectomy for the serious spinal cord compression from vertebral tuberculosis in the absence of neurologic deficits
甄平;刘兴炎;高明暄;李旭升;田琦;
摘要(Abstract)：
[目的]探讨临床症状轻微型重度结核性脊髓压迫症的致病机理、临床特点及外科治疗方法。[方法]对15例临床症状轻微的重度结核性脊髓压迫症患者采用彻底病灶清除、植骨及选择性前路或后路器械内固定手术,分析手术适应证、疗效及外科治疗特点。[结果]术后随访6个月～7年,平均3.8年,15例患者结核病灶清除彻底,结核治愈无复发。合并不全瘫5例中,术前Frankel分级C级1例恢复至E级,D级4例中恢复至E级2例,1例无变化,1例术后脊髓功能损伤加重。[结论]临床症状轻微型结核性脊髓压迫因发病过程缓慢,脊髓有一定自行调整与适应时间和空间,但脊髓仍处于危象状态,早期手术可有效降低脊髓进行性损伤。
关键词(KeyWords)： 脊柱结核;脊髓压迫;病灶清除;植骨;内固定
基金项目(Foundation):
作者(Author): 甄平;刘兴炎;高明暄;李旭升;田琦;
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参考文献(References)：
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