CAJ | 학술논문

目的探讨经椎弓根椎体椎间隙截骨脊柱短缩术治疗脊柱后凸畸形的临床疗效。方法选择40例脊柱后凸畸形的患者，对照分析矫正术前后后凸角矫正情况、疼痛改善情况，回顾分析矫正疗效及并发症情况。结果手术矫正前后脊柱后凸角手术矫正前后口述疼痛分级评分差异有统计学意义(P＜0.01)。40例患者中，手术矫正后疗效为Ⅰ级者35例(87.5％)，疗效为Ⅱ级者5例(12.5％)，疗效Ⅲ级和Ⅳ级者为0。结论经椎弓根椎体椎间隙截骨脊柱短缩术能有效矫正脊柱后凸畸形，缓解患者疼痛不适，且安全性高，值得临床中推广使用。
목적 탐토경추궁근추체추간극절골척주단축술치료척주후철기형적림상료효。방법 선택40례척주후철기형적환자，대조분석교정술전후후철각교정정황、동통개선정황，회고분석교정료효급병발증정황。결과 수술교정전후척주후철각수술교정전후구술동통분급평분차이유통계학의의(P＜0.01)。40례환자중，수술교정후료효위Ⅰ급자35례(87.5％)，료효위Ⅱ급자5례(12.5％)，료효Ⅲ급화Ⅳ급자위0。결론 경추궁근추체추간극절골척주단축술능유효교정척주후철기형，완해환자동통불괄，차안전성고，치득림상중추엄사용。
Objective To improve the correction rate of clinical, understand transpedicular vertebral intervertebral spinal shortening osteotomy for treatment of clinical efficacy of kyphosis. Methods 40 patients with kyphosis,were selected as research objects. beffore and after the kyphosis correction surgery, pain improvement, efficacy and complications were retrospectively studied. Results Before and after surgical correction of spinal kyphosis angle control study showed significant differences. Before and after surgical correction of grading oral pain control study showed significant differences.40 patients,the effects of surgical correction achieved grade Ⅰ ,35 cases(87.5％ ) ,grade Ⅱ in 5 cases ( 12.5％ ), grade Ⅲ and Ⅳ 0. Conclusion Intervertebral vertebral pedicle shortening osteotomy surgery could effectively correct spinal kyphosis, relieve pain and discomfort of patients, and safe, and it was worth to promote in the clinical use.