CAJ | 학술논문

目的：探讨经椎弓根伤椎椎体内植骨结合USS固定治疗胸腰椎骨折的方法和效果。方法2011年6月~2013年1月应用 USS内固定结合伤椎椎体内植骨治疗胸腰椎骨折26例。结果定期随访21例，随访12~16个月，平均14个月。治疗后患者的椎体前缘高度明显增高，随访患者未出现断钉、断棒及椎弓根钉松动现象。结论 USS固定经椎弓根椎体内植骨术对胸腰椎骨折患者具有满意的临床疗效，该术式早期促进伤椎骨折愈合，增加脊椎前、中柱稳定性，同时减少内固定失效，伤椎高度丢失，椎体后凸畸形等并发症有一定意义。
목적：탐토경추궁근상추추체내식골결합USS고정치료흉요추골절적방법화효과。방법2011년6월~2013년1월응용 USS내고정결합상추추체내식골치료흉요추골절26례。결과정기수방21례，수방12~16개월，평균14개월。치료후환자적추체전연고도명현증고，수방환자미출현단정、단봉급추궁근정송동현상。결론 USS고정경추궁근추체내식골술대흉요추골절환자구유만의적림상료효，해술식조기촉진상추골절유합，증가척추전、중주은정성，동시감소내고정실효，상추고도주실，추체후철기형등병발증유일정의의。
Objective To discuss the method and ef ect for treatment of thoracolumbar vertebrae with the method of USS inter-fix and transpedicular intervertebral bone graft. Methods 26 cases of Thoracolumbar fracture were treated with USS inter-fix and transpedicular intervertebral bone graft from June 2011 to January 2013.Results The 21 cases were fol owed up for 12~16 months with an average of 14 months. The edge height after treatment increased,No postoperative complications were found such as nail breaking and loosing,shaft breaking compared with preoperation by fluoroscopy. Conclusion It has bet er clinical ef ects of USS inter-fix and transpedicular intervertebral bone graft.This technique can achieve bone healing and increase two-colmn stability.It can degrade the failure rate of internal fixation and the loss of height of injured vertebras in anterior border.