CAJ | 학술논문

经椎旁肌间隙入路单侧伤椎置钉联合短节段椎弓根螺钉复位固定治疗胸腰椎骨折33例患者，术前经CT扫描显示一侧椎弓根完整，查体无神经损伤。术后随访12～40个月，平均22个月，X线片未见内固定松动、断裂。经肌间隙入路可完整保留脊柱后方复合体结构，加强脊柱的稳定性，同时伤椎单侧置钉可提高骨折椎复位效果及质量，术后稳定可靠，是治疗胸腰椎骨折的有效方法。
경추방기간극입로단측상추치정연합단절단추궁근라정복위고정치료흉요추골절33례환자，술전경CT소묘현시일측추궁근완정，사체무신경손상。술후수방12～40개월，평균22개월，X선편미견내고정송동、단렬。경기간극입로가완정보류척주후방복합체결구，가강척주적은정성，동시상추단측치정가제고골절추복위효과급질량，술후은정가고，시치료흉요추골절적유효방법。
A total of 33 non-neurological symptoms patients with thoracolumbar fractures underwent unilateral pedicle screw fixation plus short segment pedicle screw through para-vertebral muscles. Preoperative computed tomography ( CT) scan showed one side pedicle was complete.The average follow-up period was 22 (12-40) months.There was no internal fixation failure.The posterior paraspinal approach for unstable thoracolumbar fractures , retaining posterior ligament complex and fixation by unilateral pedicle screw fixation through the pedicle of fractured vertebra , is both safe and effective for thoracolumbar fractures.