臨床整形外科55巻3号

2020年03月発行

症例報告

最小侵襲手術手技を適用した腰椎化膿性脊椎炎の治療経験

著者： 太地良¹ 湯川泰紹¹ 高見正成¹ 村上公英¹ 山田宏¹

所属機関： ¹和歌山県立医科大学整形外科学講座

ページ範囲：P.287 - P.292

　化膿性脊椎炎は高齢者やcompromised host患者の増加に伴い，その発生も増加傾向にあり，保存的治療が奏功しない症例や広範囲骨欠損を伴う症例では手術加療を要する．今回，腰椎化膿性脊椎炎2例に対して最小侵襲手術(minimally invasive surgery：MIS)を適用して前後合併手術を施行した．前方はXLIF^®の後腹膜腔経大腰筋アプローチを用いて椎間板搔爬ならびに腸骨からの全層骨移植を行い，後方は経皮的椎弓根スクリュー(PPS)固定を施行した．両症例とも小皮切，少出血で手術可能で，感染制御と骨癒合が得られた．小侵襲で有効な手術法であると考えられた．

参考文献

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