CAJ | 학술논문

目的：研究经椎弓根钉固定治疗胸腰椎不稳定骨折的疗效。方法选取我院2012年1月~2013年12月收治的55例胸腰椎不稳定骨折患者为研究对象,对其行经椎弓根钉固定治疗,对治疗前后Cobb角、Frankel分级等情况进行比较分析。结果术前患者平均Cobb角(21.1±0.5)o,平均Frankel分级(2.8±0.3)级,术后半年患者Cobb角(7.0±0.2)o,平均Frankel分级(4.8±0.2)级,两者比较差异有统计学意义(P<0.05)。此外,术后随访1年55例患者未出现明显并发症。结论经椎弓根钉固定治疗胸腰椎不稳定骨折疗效显著,具有复位固定良好、操作简单、重建脊柱稳定等优点,可作为胸腰椎不稳定骨折的主要治疗手段。
목적：연구경추궁근정고정치료흉요추불은정골절적료효。방법선취아원2012년1월~2013년12월수치적55례흉요추불은정골절환자위연구대상,대기행경추궁근정고정치료,대치료전후Cobb각、Frankel분급등정황진행비교분석。결과술전환자평균Cobb각(21.1±0.5)o,평균Frankel분급(2.8±0.3)급,술후반년환자Cobb각(7.0±0.2)o,평균Frankel분급(4.8±0.2)급,량자비교차이유통계학의의(P<0.05)。차외,술후수방1년55례환자미출현명현병발증。결론경추궁근정고정치료흉요추불은정골절료효현저,구유복위고정량호、조작간단、중건척주은정등우점,가작위흉요추불은정골절적주요치료수단。
Objective To explore the curative effect of pedicle screw fixation in the treatment of unstable thoracolumbar fractures. Methods All 55 patients with unstable thoracolumbar fractures who were admitted to our hospital from Jan-uary 2012 to December 2013 were selected as research subjects and received the treatment of pedicle screw fixation. The Cobb angle and Frankel grading before and after the treatment were compared and analyzed. Results Average Cobb angle before the surgery was(21.1±0.5)o, and the average Frankel grade was(2.8±0.3). The Cobb angle in half an year after the surger was(7.0±0.2)o, and the average Frankel grading was(4.8±0.2). The differences were statisti-cally significant(P<0.05). In addition,55 patients did not show obvious complications in a one-year follow-up. Con-clusion The pedicle screw fixation in the treatment of unstable thoracolumbar fractures has a significant effect and ad-vantages of good reduction fixation, easy operation and reestablishing spinal stability, so it can be applied as main treatment method for unstable thoracolumbar fractures.