胡朝晖;李康华;刘文和;李兵;李龙;

• 1:中南大学湘雅医院骨科
• 2:中南大学湘雅医院骨科
• 3:中南大学湘雅医院骨科
• 4:广西柳州市人民医院骨科

摘要(Abstract)：

[目的]探讨Z-plate-ⅡTM前路内固定技术治疗胸腰椎结核合并后凸畸形的疗效。[方法]总结行Z-plate-ⅡTM前路内固定技术治疗胸腰椎结核合并后凸畸形患者68例,随访时间2.2~6.3 a,平均3.3 a。内容包括植骨融合率、截瘫恢复情况和后凸畸形矫正状况。[结果]所有患者均显示骨性融合;45例合并截瘫的患者中,症状完全改善25例,部分改善15例;治愈率55.56%,好转率33.33%,合计恢复率为88.89%。术后后凸畸形平均矫正28.9°,随访2.2~6.3 a,平均3.3 a,后凸角度平均丢失2.7°。[结论]Z-plate-ⅡTM前路内固定技术可恢复脊柱的即刻稳定性,有利于骨融合,促进截瘫恢复和防止截瘫复发,矫正及预防后凸畸形。

关键词(KeyWords)： 胸腰椎结核;Z-plate-ⅡTM系统;植骨;内固定

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 胡朝晖;李康华;刘文和;李兵;李龙;

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参考文献(References)：

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