CAJ | 학술논문

目的：探讨腰髂固定联合骶管减压治疗不稳定型骶骨U 型骨折的临床疗效。方法采用腰椎椎弓根螺钉联合髂骨螺钉固定联合骶管神经孔减压治疗8例不稳定型骶骨U型骨折患者。结果8例均获得随访，时间8～18个月，骨折均愈合。根据Gibbons评分标准评定神经功能改善情况，术前2.8～3.8分，术后1.3～2.47分。结论腰髂固定手术相对简单安全，同时可以减压骶管和骶前孔，重建骨盆稳定性，促进神经功能的恢复，是治疗不稳定骶骨骨折的有效方法。
목적：탐토요가고정연합저관감압치료불은정형저골U 형골절적림상료효。방법채용요추추궁근라정연합가골라정고정연합저관신경공감압치료8례불은정형저골U형골절환자。결과8례균획득수방，시간8～18개월，골절균유합。근거Gibbons평분표준평정신경공능개선정황，술전2.8～3.8분，술후1.3～2.47분。결론요가고정수술상대간단안전，동시가이감압저관화저전공，중건골분은정성，촉진신경공능적회복，시치료불은정저골골절적유효방법。
Objective To investigate the clinical effect of lumbopelvic fixation combined with posterior sacral decom-pression for unstable U-shaped sacral fractures.Methods 8 cases of unstable U-shaped sacral fractures were treated with open reduction,posterior sacral decompression and lumbopelvic or lumbosacral fixation.Results 8 patients were followed up for 8~18 months.Bone union was achieved in all cases.Efficacy was assessed by Gibbons scoring criteria.The Gibbons score was improved from (2.8~3.8)to (1.3 ~2.47).Conclusions Lumbopelvic fixation, probiding the lumbopelvic stability,has advantages of easy manipulation.Good neurological recovery can be expected after sacral decompression.It is an effective method for the treatment of unstable sacral fractures.