CAJ | 학술논문

目的：探讨微创椎弓根螺钉内固定术治疗胸腰椎骨折适应证和疗效。方法选择10例单纯胸腰椎骨折无神经功能损害、无需进行椎管减压的患者，在C型臂X线机下定位病椎及上下相邻椎弓根根部，做4个2．5 cm长的切口，固定与复位均在4个小切口内完成。结果所有患者均恢复椎体高度并矫正后凸畸形。手术时间约2 h，出血量100～150 mL。结论微创椎弓根螺钉内固定术治疗胸腰椎骨折适用于单纯胸腰椎骨折无神经功能损害、无需进行椎管减压的患者，优点是创伤小、术后康复快。
목적：탐토미창추궁근라정내고정술치료흉요추골절괄응증화료효。방법선택10례단순흉요추골절무신경공능손해、무수진행추관감압적환자，재C형비X선궤하정위병추급상하상린추궁근근부，주4개2．5 cm장적절구，고정여복위균재4개소절구내완성。결과소유환자균회복추체고도병교정후철기형。수술시간약2 h，출혈량100～150 mL。결론미창추궁근라정내고정술치료흉요추골절괄용우단순흉요추골절무신경공능손해、무수진행추관감압적환자，우점시창상소、술후강복쾌。
Objective To explore the indications and curative effect of minimally invasive pedicle screw fix-ation in the treatment of thoracolumbar fractures .Methods 10 patients with thoracolumbar fractures without neuro-logical damage and the need for vertebral lamina decompression were selected .Under the C arm,the disease vertebral and adjacent vertebral arch spikes were positioned ,four 2.5cm long incisions were done ,fixation and restoration were completed within four small incisions .Results All patients restored vertebral body height and protrusion deformity after correction.The operation time was about 2h,blood loss was 100~150mL.Conclusion The minimally invasive pedicle screw fixation in the treatment of thoracolumbar fractures is suitable for simple thoracolumbar fractures without neurological damage ,the need for patients with vertebral lamina decompression ,it has advantages of small trauma ,fas-ter postoperative recovery .