CAJ | 학술논문

目的：探讨椎弓根螺钉联合连接棒内固定治疗胸腰段脊柱骨折的临床治疗效果。方法：将我院2009年1月到2009年12月之间收录的40例胸腰段脊柱骨折患者采取椎弓根螺钉联合连接棒内固定进行治疗，观察治疗前后的观察治疗前、后椎体的高度和Cobb's角度以及VAS评分、JOA评分等情况。结果：通过手术治疗前后的观察比较，患者在治疗后的前、后椎体的高度和Cobb's角度均较治疗前的前、后椎体的高度和Cobb's角度有明显的改善，数据的比较具有明显的差异，有统计学意义(P<0.05)。而且治疗后的VAS评分、JOA评分较治疗前的VAS评分、JOA评分有明显的改善，数据的比较具有明显的差异，(P<0.05)，有统计学意义。而且本组的40例患者在治疗中无任何的不良反应情况出现，恢复较好。结论：临床中胸腰段脊柱骨折患者采取椎弓根螺钉联合连接棒内固定治疗具有较好的应用效果，而且术后恢复快，稳定性高，并发症少，值得临床中应用。
목적：탐토추궁근라정연합련접봉내고정치료흉요단척주골절적림상치료효과。방법：장아원2009년1월도2009년12월지간수록적40례흉요단척주골절환자채취추궁근라정연합련접봉내고정진행치료，관찰치료전후적관찰치료전、후추체적고도화Cobb's각도이급VAS평분、JOA평분등정황。결과：통과수술치료전후적관찰비교，환자재치료후적전、후추체적고도화Cobb's각도균교치료전적전、후추체적고도화Cobb's각도유명현적개선，수거적비교구유명현적차이，유통계학의의(P<0.05)。이차치료후적VAS평분、JOA평분교치료전적VAS평분、JOA평분유명현적개선，수거적비교구유명현적차이，(P<0.05)，유통계학의의。이차본조적40례환자재치료중무임하적불량반응정황출현，회복교호。결론：림상중흉요단척주골절환자채취추궁근라정연합련접봉내고정치료구유교호적응용효과，이차술후회복쾌，은정성고，병발증소，치득림상중응용。
Objective:To investigate the pedicle screw joint connection rod fixation of the thoracolumbar spine fractures clinical effect. Methods:Our hospital between January 2009 to December 2009 included 40 cases of thoracolumbar spine fracture patients to take pedicle screw joint connection rod fixation treatment, observed before and after treatment, observation and treatment before and after the vertebral height and Cobb's angle and VAS scores, JOA score, etc.. Results:Through the observation of the before and after surgical treatment of patients before and after treatment of vertebral height and Cobb's angle than before treatment, before, after the vertebral body height and Cobb's angle a significant improvement, the comparison of the data has obvious the difference was statistically significant (P<0.05). VAS score after treatment, the VAS score JOA score than before treatment, JOA score significantly improved data have obvious differences, (P<0.05), with statistical significance. And the group of 40 patients in the treatment without any adverse reaction occurs, better recovery. Conclusion:The clinical thoracolumbar spine fracture patients to take pedicle screw fixation of joint connecting rod has a better effect, and rapid postoperative recovery, high stability, fewer complications, and worthy of clinical application.