CAJ | 학술논문

目的探讨应用TSRH-3D椎弓根螺钉系统复位并椎弓根内固定治疗多节段腰椎骨折的治疗效果及远期疗效.方法本组18例多节段腰椎骨折患者应用TSRH-3D椎弓根螺钉系统复位并椎弓根内固定治疗多节段腰椎骨折,均于伤后4 h～2 d内手术,所有患者均得到随访,随访时间15～32个月,平均23个月.均于术前、术后、末次随访时拍摄脊柱正侧位X片和CT片.结果 (1)脊柱活动改善率为67%;腰背痛改善率为94%;下肢疼痛改善率为78%.(2)与术前相比,伤椎前缘高度平均矫正59.2%,平均丢失5.2%(P<0.01);Cobb角平均矫正19.5°,平均丢失5.4°(P<0.01)°结论采用TSRH-3D椎弓根螺钉内固定系统治疗多节段腰椎骨折对损伤节段可有满意的复位及内固定效果,有利于恢复脊柱伤椎高度、生理弧度和神经功能以及消除腰腿痛,有较好的远期疗效.
목적 탐토응용TSRH-3D추궁근라정계통복위병추궁근내고정치료다절단요추골절적치료효과급원기료효.방법 본조18례다절단요추골절환자응용TSRH-3D추궁근라정계통복위병추궁근내고정치료다절단요추골절,균우상후4 h～2 d내수술,소유환자균득도수방,수방시간15～32개월,평균23개월.균우술전、술후、말차수방시박섭척주정측위X편화CT편.결과 (1)척주활동개선솔위67%;요배통개선솔위94%;하지동통개선솔위78%.(2)여술전상비,상추전연고도평균교정59.2%,평균주실5.2%(P<0.01);Cobb각평균교정19.5°,평균주실5.4°(P<0.01)°결론 채용TSRH-3D추궁근라정내고정계통치료다절단요추골절대손상절단가유만의적복위급내고정효과,유리우회복척주상추고도、생리호도화신경공능이급소제요퇴통,유교호적원기료효.
Objective To review the clinical data of a group of patients with multi-level lumbar spine fractures treated with TSRH-3D pedicle screw system and to investigate the effect and post-operative efficacy of this technique. Methods Eighteen patients diagnosed as multi-level lumbar spine fracture were treated with TSRH-3D pedicle screw system. The operations were performed at 4 hours to 2 days after injury and the follow-up period was 15-32 months (mean; 23 months). The X-ray and CT scan were taken both preoperatively and postoperatively. Results ( 1 ) Twelve patients became injured from height falling (67%), 5 from traffic accident (28%) and 1 from crush (5%). (2) The improvement rate of spine motion, back pain and lower extremity pain was 67% , 94% and 78% respectively. (3) Compared with preoperative status, the height of anterior border of vertebra improved by 59. 2% , lost by an average of 5.2% (P<0.01) and the Cobb angle was corrected by 19.5°, lost an average of 5.4°. Conclusion It is feasible to treat the multi-level lumbar spine fractures with TSRH-3D pedicle screw system. And the outcome of reduction and fixation is satisfactory. This technique is excellent at improving the height of injury vertebra, physiological curvature and neural function. It also can relieve lumbocrural pain with a definite postoperative efficacy.