CAJ | 학술논문

目的:比较分析胸腰椎骨折内固定方法的应用效果.方法:对82例患者分别采用后路内固定(后路减压式内固定方式Harrington和后路经椎弓根内固定AF系统)及前路内固定Kaneda方式进行手术治疗,比较治疗后伤椎Cobb’s角和前、后缘高度改善情况,以及Frankel分级变化情况、并发症发生情况.结果:Cobb’s角和前、后缘高度改善情况及Frankel分级上,AF较之Harrington与Kaneda效果更佳;另外,Harrington与AF较之Kaneda,并发症发生率相对更少.结论:治疗胸腰椎骨折时,应根据患者的具体情况选择合适的内固定方式,后路方式可行的前提下可优先考虑采用.
목적:비교분석흉요추골절내고정방법적응용효과.방법:대82례환자분별채용후로내고정(후로감압식내고정방식Harrington화후로경추궁근내고정AF계통)급전로내고정Kaneda방식진행수술치료,비교치료후상추Cobb’s각화전、후연고도개선정황,이급Frankel분급변화정황、병발증발생정황.결과:Cobb’s각화전、후연고도개선정황급Frankel분급상,AF교지Harrington여Kaneda효과경가;령외,Harrington여AF교지Kaneda,병발증발생솔상대경소.결론:치료흉요추골절시,응근거환자적구체정황선택합괄적내고정방식,후로방식가행적전제하가우선고필채용.
Objective:To compare and analysis the application effect of internal fixation method applied to thoracolumbar fracture.Method:The 82 patients were surgical treatment respectively with internal fixation of posterior(internal fixation of decompression from the posterior called Harrington and internal fixation from the posterior through the pedicle of vertebral arch called AF system)and internal fixation from the front path called Kaneda,then compare the the improvement about cobb’s angle of injured spinal cord and the height of front and rear edge、the changes of Frankel classification and the adverse reaction case after treatment.Result:The effect of AF was better than Harrington and Kaneda on cobb’s angle and the height of front and rear edge;The adverse reaction case of Harrington and AF was less than Kaneda.Conclusion:Medical clinical should choose the right way of internal fixation when treatment with thoracolumbar fracture,internal fixation of decompression from the posterior can be considered first in the feasible premise.