CAJ | 학술논문

目的探讨胸腰椎压缩骨折经伤椎或者跨椎椎弓根钉内的固定效果.方法对本院收治的25例胸腰椎压缩骨折患者,利用椎管的环形减压以及短节段的椎弓根螺钉系统实行固定,采取在经伤椎单侧或者双侧椎弓根固定方法.结果随机访问术后1～4年25例患者状况,术后均未出现伤口感染或神经损伤等问题.距患者术后7d的X线检查显示,脊柱Cobb's已经从损伤后的24°恢复到术后7d的2.8°.经CT显示,患者伤椎周边的骨皮质较为完整,且椎管内的骨块恢复较好,解除椎管狭窄问题.术后VAS评分由8分到2分(P＜0.05).结论通过实行胸膜椎压缩骨折经伤椎或跨椎椎弓根钉内固定方法,对于骨折复位治疗效果良好,可重新恢复椎体高度,提高脊柱抗压性与稳定性,减少一系列并发症的产生,减轻患者痛苦,具有临床应用价值.
목적 탐토흉요추압축골절경상추혹자과추추궁근정내적고정효과.방법 대본원수치적25례흉요추압축골절환자,이용추관적배형감압이급단절단적추궁근라정계통실행고정,채취재경상추단측혹자쌍측추궁근고정방법.결과 수궤방문술후1～4년25례환자상황,술후균미출현상구감염혹신경손상등문제.거환자술후7d적X선검사현시,척주Cobb's이경종손상후적24°회복도술후7d적2.8°.경CT현시,환자상추주변적골피질교위완정,차추관내적골괴회복교호,해제추관협착문제.술후VAS평분유8분도2분(P＜0.05).결론 통과실행흉막추압축골절경상추혹과추추궁근정내고정방법,대우골절복위치료효과량호,가중신회복추체고도,제고척주항압성여은정성,감소일계렬병발증적산생,감경환자통고,구유림상응용개치.
Objective To investigate the injury of the vertebral compression fracture of thoracic and lumbar vertebra vertebral pedicle nail within or across the fixed effect.Methods 25 cases of thoracolumbar vertebral compression fracture patients,were taken the injured vertebra vertebral pedicle of vertebral arch or cross with nail fixation for the treatment.There were 14 males,11 females,aged from 19 ～ 67 years old.Resuits Random access 1 ～ 4 postoperativeyears,25 patients before and after operation condition,with statistical significant difference(P＜0.05).The VAS score dropped from 8 to 2.Conclusion Through the introduction of thoracolumbar vertebral compression fractures with vertebral or across the vertebral pedicle screw fixation for fracture reduction method,the curative effect is good,could restore vertebral height,improve spinal compressive property and stability,reduce a series of complications,to alleviate the suffering of patients,with clinical application value.