CAJ | 학술논문

目的探讨经后路单节段椎弓根钉内固定术治疗胸腰椎骨折的临床疗效.方法经后路对16例胸腰椎骨折患者行切开复位单节段椎弓根钉内固定术,并同时行后外侧植骨术,其中9例行椎板切除椎管探查.术后神经功能恢复按Frankel分级评定标准,采用Suk标准评估术后植骨融合情况,术后腰痛按Denis分级评估.结果随访8～24个月,平均(13.0±3.4)个月.伤椎高度恢复满意,与上下方椎体相应高度均值相比矫正率为30.8%,后凸畸形显著矫正,植骨均融合,无断钉、断棒及螺钉松动.9例有神经症状者术后Frankel分级均有1级以上恢复.随访期间腰痛按Denis分级评估:P114例,P22例.结论对于合适的胸腰椎骨折患者,切开复位后路单节段椎弓根钉内固定术是一种安全有效的治疗方法.
목적 탐토경후로단절단추궁근정내고정술치료흉요추골절적림상료효.방법 경후로대16례흉요추골절환자행절개복위단절단추궁근정내고정술,병동시행후외측식골술,기중9례행추판절제추관탐사.술후신경공능회복안Frankel분급평정표준,채용Suk표준평고술후식골융합정황,술후요통안Denis분급평고.결과 수방8～24개월,평균(13.0±3.4)개월.상추고도회복만의,여상하방추체상응고도균치상비교정솔위30.8%,후철기형현저교정,식골균융합,무단정、단봉급라정송동.9례유신경증상자술후Frankel분급균유1급이상회복.수방기간요통안Denis분급평고:P114례,P22례.결론 대우합괄적흉요추골절환자,절개복위후로단절단추궁근정내고정술시일충안전유효적치료방법.
Objective To investigate the method and effect of monosegment pedicle instrumentafinn on thoraeolumbar vertebral fracture.Methods Sixteen patients with thoracolumbar vertebral fractures treated by open reduction and monosegment pedicle instrumentation through posterior approach.Posterolateral bone grafting was done in all cases,9 cases were quite decompressed using laminectomy.The follow-up time Was 8-24 months.The spine radiographs and CT scan were taken pre-and post-operation.The parameters used for clinical evaluation were the Denis pain scale,neurological evaluation by the Frankel scale and bone graft healing evaluation by the Suk scale.Results All of the fractures were reduced satisfactorily during the follow-up.The height of the injured vertebral improved rate was 30.8%,kyphosis of the injured vertebral segment rectified obviously.There was no implant break,and no signs of losing were observed in any patient.Nine patients which had neurological deficiency had average improvement more than one degree by the Frankel scale.After operation the pain score was P1 in 14 patients and P2 in 2 patients.Condnsion For the appropriate patients with thoracolumbar vertebral fractures,open reduction and internal fixation of monosegment pedicle instrumentation through posterior approach is a safe and effective method.