CAJ | 학술논문

目的：研究经多裂肌间隙入路与经传统后侧入路椎弓根系统内固定治疗胸腰椎骨折的疗效比较。方法选择2010年1月~2013年5月入院的无神经压迫症状的单节段胸腰椎骨折患者42例，分别采用经多裂肌间隙入路与传统后侧入路椎弓根系统复位内固定治疗。结果经多裂肌间隙入路手术时间、术中出血量及术后引流量较传统后侧入路明显减少，椎体高度的恢复及Cobb角纠正情况与传统后侧入路无差别，术后6个月患者VAS评分较传统后侧入路明显减小。结论经多裂肌间隙入路治疗无需椎管减压的单节段胸腰椎骨折较传统后侧入路优势明显，具有操作简单、术后功能恢复好、并发症少等优点。
목적：연구경다렬기간극입로여경전통후측입로추궁근계통내고정치료흉요추골절적료효비교。방법선택2010년1월~2013년5월입원적무신경압박증상적단절단흉요추골절환자42례，분별채용경다렬기간극입로여전통후측입로추궁근계통복위내고정치료。결과경다렬기간극입로수술시간、술중출혈량급술후인류량교전통후측입로명현감소，추체고도적회복급Cobb각규정정황여전통후측입로무차별，술후6개월환자VAS평분교전통후측입로명현감소。결론경다렬기간극입로치료무수추관감압적단절단흉요추골절교전통후측입로우세명현，구유조작간단、술후공능회복호、병발증소등우점。
Objective To compare the effectiveness of multifidus muscle gap approach and traditional posterior transpedicular screw system internal fixation in thoracolumbar fracture. Methods 42 patients with single segment tho-racolumbar fracture without nerve compression symptoms from Jan. 2010 to May 2013 were treated by multifidus mus-cle gap approach and traditional posterior transpedicular screw system internal fixation respectively. Results Duration of operation,intraoperative blood loss and postoperative drainage were less in multifidus muscle gap approach than those in conventional posterior approach. There were no significant difference in restoration of vertebral height and cor-rection of Cobb angle between the two groups. VAS score was significantly lower than conventional posterior approach 6 months after operation. Conclusion Multifidus muscle gap approach is superior to conventional approach with sim-ple operation,good functional recovery and fewer complications.