CAJ | 학술논문

目的：探讨腰椎椎弓根动态固定治疗腰椎间盘突出症和腰椎管狭窄的短期疗效。方法2009年12月~2011年12月，采用腰椎动态内固定共治疗45例腰椎间盘突出症和腰椎管狭窄患者。L345例；L4.515例；L5S120例；L34L4.5双节段2例；L4.5 L5S1双节段3例。男24例，女21例；年龄38~70岁，平均55岁。随访24~36个月，通过VAS评分、ODI指数和影像学分析评价其疗效。结果患者VAS评分、Oswestry功能障碍指数（ODI）均获得显著改善（P＜0.05）；患者术后6个月及末次随访时，手术节段椎间高度差异无显著变化，置入节段及邻近节段椎间活动范围差异无显著性意义。结论腰椎动态内固定系统是治疗腰椎间盘突出症和腰椎管狭窄的一种有效方法，远期效果待进一步观察。
목적：탐토요추추궁근동태고정치료요추간반돌출증화요추관협착적단기료효。방법2009년12월~2011년12월，채용요추동태내고정공치료45례요추간반돌출증화요추관협착환자。L345례；L4.515례；L5S120례；L34L4.5쌍절단2례；L4.5 L5S1쌍절단3례。남24례，녀21례；년령38~70세，평균55세。수방24~36개월，통과VAS평분、ODI지수화영상학분석평개기료효。결과환자VAS평분、Oswestry공능장애지수（ODI）균획득현저개선（P＜0.05）；환자술후6개월급말차수방시，수술절단추간고도차이무현저변화，치입절단급린근절단추간활동범위차이무현저성의의。결론요추동태내고정계통시치료요추간반돌출증화요추관협착적일충유효방법，원기효과대진일보관찰。
Objective To evaluate the short term ef ectiveness of lumbar dynamic system. Methods From December 2009 to April 2011,40 cases cured with lumbar dynamic system were included. The involved segments included:5 cases at L3/4,15 cases at L4/5,20 cases at L5S1,2cases at L3/4 and L4/5 ,3cases at L4/5 and L5S1. There were 24males,21females with an average of 55years (rage 38~70years).The fol ow-up time was from 24 month to 36 month. The therapeutic ef ectiveness was evaluate by VAS ,ODI and iconographic dif erence. Results The vas, ODI and iconographic dif erence were improved significantly (P<0.05).Conclusion The lumbar dynamic system was an ef ective option for lumbar disc herniation and spinal stenosis.