CAJ | 학술논문

目的：评价伤椎置钉内固定手术方式治疗胸腰椎爆裂性骨折患者的临床疗效。方法将我科收治的胸腰椎爆裂性骨折患者62例分为两组：跨伤椎传统4钉手术组35例，伤椎置钉手术组27例；分别行相应的手术治疗。对比两组患者术后的治疗效果。结果两组患者在术后伤椎高度、矢状位Cobb’s角、内固定失败并发症率、术后硬膜横截面积的统计学差异具有统计学意义(P<0.01)。结论与传统术式相比，伤椎置钉内固定手术方式治疗胸腰椎爆裂性骨折可以获得更好的临床疗效，具有临床推广应用价值。
목적：평개상추치정내고정수술방식치료흉요추폭렬성골절환자적림상료효。방법장아과수치적흉요추폭렬성골절환자62례분위량조：과상추전통4정수술조35례，상추치정수술조27례；분별행상응적수술치료。대비량조환자술후적치료효과。결과량조환자재술후상추고도、시상위Cobb’s각、내고정실패병발증솔、술후경막횡절면적적통계학차이구유통계학의의(P<0.01)。결론여전통술식상비，상추치정내고정수술방식치료흉요추폭렬성골절가이획득경호적림상료효，구유림상추엄응용개치。
Objective To compare the clinical effect of the two operating methods: screws through fractured pedical arch operating method versus traditional operating method in the treatment of thoracolumbar burst fractures, to confirm the clinical advantages of screws through fractured pedical arch operating method in the treatment of thoracolumbar fractures. Methods A total of 62 cases suffered from thoracolumbar burst fractures were divided into two groups:screws through fractured pedical arch operating method group (n=27) and traditional operating method group (n=35). Each group was undergone the corresponding operation. The clinical results were evaluated between two groups. Results Patients in the screws through fractured pedical arch group by contrast to traditional group, margin height, Cobb's angle, internal fixation failure rates and area of vertebral canal were different, there was significant differences (P<0.01). Conclusion Screws through fractured pedical arch operating method had many advantages, which had a promising clinical applica-tion in the treatment of thoracolumbar burst fractures.