LocalchemotherapycombinedwithpercutaneouspediclescrewinadjacentvertebraeinthetreatmentofspinetuberculosisDepartmentofOrthopedics,theGeneralHospitalofPLA,Beijing,100853;【Abstract】:ObjectiveToassesstheclinicalefficiencyoflocalchemotherapycombinedwithpercutaneouspediclescrewinadjacentvertebrainthetreatmentofspinetuberculosis.MethodsFromApril2007toJune2011,15advancedspinaltuberculosispatientsweretreatedbylocalchemotherapycombinedwithpercutaneouspediclescrewinadjacentvertebrae.Amongthem,therewere6malesand9females.Theiragesrangedfrom36to85years,withanaverageof64years.Therewere8inthoracic,4inthoracolumbarand3inlumbar.Thelevelofthelesionwere12fortwovertebraeand3forthreevertebrae.3caseswerecomplicatedwithparaplegiawith2ASIACand1ASIAD.ResultAllcaseswerefollowedupforanaverageof13months(range3-53months).10patientswerecuredand4patientswereimprovedbesides1caseaggravedwhoweretreatedbyanteriordebridementwithautograftbonefusionandspinalreconstruction.Nopediclescrewandrodslosseorfractureandnokyphoticangleincreaseoccurredtotheendoffollow-up.ConclusionLocalchemotherapycombinedwithpercutaneouspediclescrewinadjacentvertebraeisoneofmethodtotreatspinetuberculosis,whichhassomeadvantagesincludingfewertraumas,lessbloodlose,earlieractionandnokyphoticangleincrease..【Keywords】localchemotherapy,percutaneous,pediclescrew,spinetuberculosis
1、工作生活中做到劳逸结合,坐姿正确。维持正确的坐姿能有效的减轻腰椎的负荷,在日常工作生活中,做到劳逸结合,有效的缓解腰部肌肉的酸痛不适,疲劳、紧张的状态,是预防腰椎病发生的关键。 2、坚持锻炼:日常生活中能够做到坚持锻炼,尤其是腰背部的锻炼,达到提高腰背部肌肉、韧带的弹性及强度,从而使腰椎的稳定性得到加强,就能有效的预防腰椎病的发生。 3、注意腰部的保暖:避免腰部处于寒冷潮湿的环境,减缓腰椎及其附近的肌肉、韧带的退行性改变,就能预防腰椎病的发生。 4、选用硬板床卧床休息:硬板床能维持腰椎的正常生理弯曲,减轻腰椎的负荷,也能达到预防腰椎病的发生。 5、饮食平衡,多食含钙高的食物:日常生活中,多食蛋白质、维生素、钙含量高的食物,并维持低脂肪的饮食,戒烟戒酒,提高骨骼中钙的含量,维持腰椎的钙、磷平衡,也是预防腰椎病发生的基础。 6、提重物时不能弯腰,应该先蹲下拿到重物,然后慢慢起身。提重物时,尽量做到不弯腰,能有效的预防腰椎病,尤其是腰椎间盘突出的发生。