CAJ | 학술논문

目的：探讨前路减压植骨重建及钉棒内固定系统治疗陈旧性胸腰椎爆裂骨折的临床疗效。方法：选择15例胸腰椎陈旧性爆裂骨折，采用侧前方椎体次全切除减压、钛网支撑植骨融合和前路钉棒内固定系统固定术治疗。结果：15例患者随访时间12~39个月，平均22.6个月。术前脊柱矢状位后凸Cobb角为14.8°±2.4°(6°~36°)，术后2周后凸Cobb角为4.5°±0.8°(-2°~8°)，与术前比较差异有统计学意义(P<0.01)；术前局限性腰痛视觉模拟评分法(visual analogue scale，VAS)评分为5~9分，平均(7.2±1.3)分，术后2周VAS评分1~3分，平均(2.2±0.3)分，与术前比较差异有统计学意义(P＜0.01)。所有病例无严重手术并发症发生。结论：前路减压植骨重建及钉棒固定更有利于神经减压及重建脊柱稳定，是治疗陈旧性胸腰椎爆裂骨折的有效方法。
목적：탐토전로감압식골중건급정봉내고정계통치료진구성흉요추폭렬골절적림상료효。방법：선택15례흉요추진구성폭렬골절，채용측전방추체차전절제감압、태망지탱식골융합화전로정봉내고정계통고정술치료。결과：15례환자수방시간12~39개월，평균22.6개월。술전척주시상위후철Cobb각위14.8°±2.4°(6°~36°)，술후2주후철Cobb각위4.5°±0.8°(-2°~8°)，여술전비교차이유통계학의의(P<0.01)；술전국한성요통시각모의평분법(visual analogue scale，VAS)평분위5~9분，평균(7.2±1.3)분，술후2주VAS평분1~3분，평균(2.2±0.3)분，여술전비교차이유통계학의의(P＜0.01)。소유병례무엄중수술병발증발생。결론：전로감압식골중건급정봉고정경유리우신경감압급중건척주은정，시치료진구성흉요추폭렬골절적유효방법。
Objective:To analyze surgical effect of anterior screw-rod internal fixation system for treating thoracolumbar old burst vertebral fracture retrospectively. Methods: 15 patients suffered thoracolumbar old burst vertebral fracture were under-went lateral anterior corpectomy decompression,Titanium mesh bone fusion and anterior screw-rod internal fixation system treatment. Results:The patients were followed-up from 12 months to 39 months with an average of 22.6 month . Pre-operative Cobb angel was 14.8°±2.4°(arrange from 6°-36°)and post-operative 2 weeks Cobb angle was 4.5°±0.8°(arrange from-2°-8°). There were significantly differences(P<0.01). The VAS of back pain was 7.2±1.3(arrange from1-3) pre-operatively and 2.2± 0 . 3 post-operative 2 weeks , and there were differences ( P<0 . 01 ) . All of the patiens have no developed severe complications. Conclusion: Anterior screw-rod internal fixation system, as well as decompression and fusion with bone graft is more conducive to nerve decompression and reconstruction of spinal stability,which is an effective and safe procedure to treat thoracolumbar old burst vertebral fracture.