CAJ | 학술논문

目的分析椎体支柱块联合椎弓根钉内固定治疗外伤性椎体压缩骨折的近期临床疗效.方法回顾性分析2009年3月至2010年7月外伤性椎体压缩骨折患者13例共18个椎体,其中男5例,女8例,年龄35～68岁,平均52.3岁,均行椎弓根钉内固定及经伤椎单侧椎弓根支柱块植入椎体后膨胀手术治疗.采用疼痛比评分(VAS)评价临床疗效,行X线、CT检查观察椎体高度的恢复情况.结果随访6～12个月,平均9.8个月,术后即刻疼痛未见缓解,术后10 d、3个月及6个月疼痛较术前明显缓解.上述同时间点X线及CT检查,椎体前缘高度较术前有显著改善,术后3、6个月随访时与术后10 d比较高度无明显丢失.结论椎体支柱块联合椎弓根钉治疗外伤性椎体压缩骨折临床应用疗效满意.
목적 분석추체지주괴연합추궁근정내고정치료외상성추체압축골절적근기림상료효.방법 회고성분석2009년3월지2010년7월외상성추체압축골절환자13례공18개추체,기중남5례,녀8례,년령35～68세,평균52.3세,균행추궁근정내고정급경상추단측추궁근지주괴식입추체후팽창수술치료.채용동통비평분(VAS)평개림상료효,행X선、CT검사관찰추체고도적회복정황.결과 수방6～12개월,평균9.8개월,술후즉각동통미견완해,술후10 d、3개월급6개월동통교술전명현완해.상술동시간점X선급CT검사,추체전연고도교술전유현저개선,술후3、6개월수방시여술후10 d비교고도무명현주실.결론 추체지주괴연합추궁근정치료외상성추체압축골절림상응용료효만의.
Objective To study the short-term effect of pillar vertebral spacer united vertebral pedicle screw system to cure vertebrae fractures. Methods From March 2009 to July 2010, 13 patients suffered from traumatic vertebral compression fracture underwent pillar vertebral spacer united vertebral pedicle screw system. Of them, there were 5 male cases and 8 female, their ages ranged from 35 to 68 years with an average of 52.3 years. All cases with 6-12 months (average 9.8 months) of follow-up were evaluated, the pre/post-operative VAS scores and the height of the anterior vertebral bodies were recorded at various time points respectively. Results The pain of postoperative wasn't relieved instantly, however, the pain was obviously alleviated after 10 days. At various time points, X-ray image and CT image showed a satisfactory position of pedicle screw and pillar vertebral spacer. The height of anterior vertebral bodies was improved significantly after operation, the 3 months and 6 months follow-up both showed that there were no significant loss of height. Conclusions The short-term effect of pillar vertebral spacer united vertebral pedicle screw system with vertebrae fractures is excellent.