CAJ | 학술논문

目的:经后路采用AF和钉棒系统复位固定胸腰椎屈曲压缩型骨折,分两组第1组后路复位固定经椎弓根行椎体内植骨;第2组单纯后路复位固定,两组对照评价脊柱矫正程度.方法:对接受手术的两组患者总计28例术前、术后的影像学资料进行总结,并对结果进行分析.结果:28例患者经一年随访,测出X光片术前和术后伤椎前缘平均高度,两组术平均高度为17 mm,术后1周平均为31 mm;术后一年第1组平均为29 mm,cobbs角平均增加2°,第2组平均为27mm,cobbs角平均增加4°.结论:后路复位固定并经椎弓根椎体内植骨融合治疗胸腰椎屈曲压缩型骨折是可行的,与后路单纯复位固定相比复位好,远期椎体高度丢失小:可最大范围恢复脊柱生理曲度.
목적:경후로채용AF화정봉계통복위고정흉요추굴곡압축형골절,분량조제1조후로복위고정경추궁근행추체내식골;제2조단순후로복위고정,량조대조평개척주교정정도.방법:대접수수술적량조환자총계28례술전、술후적영상학자료진행총결,병대결과진행분석.결과:28례환자경일년수방,측출X광편술전화술후상추전연평균고도,량조술평균고도위17 mm,술후1주평균위31 mm;술후일년제1조평균위29 mm,cobbs각평균증가2°,제2조평균위27mm,cobbs각평균증가4°.결론:후로복위고정병경추궁근추체내식골융합치료흉요추굴곡압축형골절시가행적,여후로단순복위고정상비복위호,원기추체고도주실소:가최대범위회복척주생리곡도.
Objective: The use of AF and posterior screw-road system to reset and fix the flexion of thoracolumbar vertebral compression fractures, The cases were divided into two groups; Group One by posterior reduction and fixation with pedicle bone graft vertebral line; Group Two is a simple reduction and fixation of the posterior, and the two groups were compared to assess the extent of spinal correction. Method:Two groups of surgery patients with a total of 28 cases of preoperative and postoperative imaging data summary and analysis of the results. Result: 28 cases of patients with one-year follow-up, X-ray measured preoperative and postoperative wound average vertebral height of the front, The mean preoperative height of 17 mm, after 1 week an average of 31 mm; after one year Group 1 average of 29mm, cobs angle increased by an average of 2°, Group 2 an average of 27mm, cobs angle increased by an average of 4°. Conclusion: Posterior reduction and fixation by pedicle vertebral fusion in the treatment of thoracic and lumbar flexion compression fracture is feasible, a simple reduction and fixation with posterior reduction compared to a good, longterm loss of vertebral height small; can to restore the maximum extent physiological spinal curvature.