CAJ | 학술논문

目的：探讨一期后路植骨融合、椎弓根内固定治疗胸腰椎骨折的方法与疗效。方法应用椎弓根内固定同时一期后路植骨融合治疗胸腰段骨折22例，对其疗效进行分析。结果患者术后椎体高度和生理弧度恢复满意，随访未发生椎体高度和生理弧度丢失，无内固定松动、感染及医源性神经损伤，术后一年植骨获得骨性融合。结论椎弓根内固定同时一期后路植骨融合手术安全，固定牢靠，是治疗胸腰椎骨折的有效手段。
목적：탐토일기후로식골융합、추궁근내고정치료흉요추골절적방법여료효。방법응용추궁근내고정동시일기후로식골융합치료흉요단골절22례，대기료효진행분석。결과환자술후추체고도화생리호도회복만의，수방미발생추체고도화생리호도주실，무내고정송동、감염급의원성신경손상，술후일년식골획득골성융합。결론추궁근내고정동시일기후로식골융합수술안전，고정뢰고，시치료흉요추골절적유효수단。
Objective To explore the method and effect of treating thoracolumbar fracture with posterior bone grafts on first stage and transpedicular internal fixation .Methods The clinical data of 22 cases with thoraco-lumbar fracture ,treated with posterior bone grafts on first stage and transpedicular internal fixation at the same time , were analyzed and assessed .Results In this group,the vertebral height and physiological curve were recovered satis-factorily,no loss of which was found in the long-term follow-up.There were no loosening of internal fixation ,infection and iatrogenic nerve injury .All patients had achieved bone fusion in one year after the operation of posterior bone grafts,and their nerve functions were recovered .Conclusion The operation of transpedicular internal fixation is safe and reliable ,and is proved to be an effective method of treatment for patients with thoracolumbar fracture .