未经证实:结核分枝杆菌(MTB)会引起一种称为结核病的传染病,这种疾病会影响肺部和身体的其他部位。脊柱结核约占骨骼结核所有发生率的一半。上胸椎结核患者发生严重脊髓损伤和后凸畸形的风险增加,这可能需要手术。几种治疗方式包括清创术,化疗治疗,脊髓缠绕和神经减压。
方法:一名女性患者,45岁,来了两个月不能走路。疼痛已经开始了1年,并且一直在恶化,直到双腿的运动力量减弱。患者诊断为胸椎第二ASIAB型脊柱炎结核伴脊髓病。我们进行了Th1-Th3的后路器械,并通过椎板切除术和经椎弓根清创术进行减压。没有神经损伤,伤口感染,以及手术后的其他并发症。手术后1个月评估手术结果。
UNASISIGNED:患者术后1个月有良好的运动功能。没有援助,病人可以站起来走几步.此外,患者总体感觉更好,不再有背部不适,表明手术也取得了良好的效果。
结论:后路内固定是可行的,清创术,在这种情况下是融合。这是最小的创伤,良好的矫正率和防止后凸的进展。脊髓也可以减压,效果满意。
UNASSIGNED: Mycobacterium tuberculosis (MTB) causes an infectious disease called tuberculosis which affects lung and other site of body. Spinal tuberculosis accounts for about half of all occurrences of skeletal tuberculosis. Patients with upper thoracic spinal TB are at an increased risk of severe spinal cord injury and kyphotic deformity, which may require surgery. Several treatment modalities include debridement, chemotherapy treatment, and decompression of the spinal twine and nerves.
METHODS: A female patient, 45 year old, came with inability to walk for 2 months. Pain had started for 1 year and it was getting worse until motor strength of both leg diminished. The patient was diagnosed spondylitis tuberculosis of thoracal 2nd ASIA B with myelopathy. We performed posterior instrumentation of Th1-Th3 continuous with decompression by laminectomy and transpedicular debridement. There was no neurological injury, wound infections, and other complications after the surgery. Outcome of the surgery was evaluated on 1 months after surgery.
UNASSIGNED: The patient has good motor function one month following the operation. Without assistance, the patient could rise and take a few steps. Furthermore, the patient felt better overall and no longer had back discomfort, indicating that the surgery also had good results.
CONCLUSIONS: Posterior approach is feasible for internal fixation, debridement, and fusion in this
case. It is minimal traumatic, good correction rate and prevents the progression of kyphosis. The spinal cord also can be decompressed with satisfactory result.