CAJ | 학술논문

目的：：探讨短节段椎弓根内固定治疗胸腰椎严重爆裂骨折的临床疗效。方法：选择自2008年2月~2013年1月于我院行短节段椎弓根内固定治疗胸腰椎爆裂骨折的患者51例，随访分析其临床疗效。结果：本研究中患者手术均取得成功，术后切口愈合良好，并且患者的神经症状有所缓解。随访后动力位X线片显示固定段无异常活动，椎体高度较术后平均改变0.5%，同时未发现椎弓钉松动、断裂。结论：短节段椎弓根内固定治疗是治疗胸腰椎严重爆裂性骨折的有效方法，是集减压、复位、内固定于一体的手术方式，但手术造成的创伤大，因此应合理把握手术指征。
목적：：탐토단절단추궁근내고정치료흉요추엄중폭렬골절적림상료효。방법：선택자2008년2월~2013년1월우아원행단절단추궁근내고정치료흉요추폭렬골절적환자51례，수방분석기림상료효。결과：본연구중환자수술균취득성공，술후절구유합량호，병차환자적신경증상유소완해。수방후동력위X선편현시고정단무이상활동，추체고도교술후평균개변0.5%，동시미발현추궁정송동、단렬。결론：단절단추궁근내고정치료시치료흉요추엄중폭렬성골절적유효방법，시집감압、복위、내고정우일체적수술방식，단수술조성적창상대，인차응합리파악수술지정。
Objective:To investigate the clinical efficacy of short-segment pedicle screw fixation for the treatment of severe thoraco-lumbar burst fractures. Methods:Following-up 51 cases of patients with short-segment pedicle screw fixation therapy treatment in our hospital from February 2008 to January 2013, analyzed their clinical results of short-segment pedicle fixation treatment. Results: The surgerys of patients in this study were successful, postoperative wound healed well and the patients' psychiatric symptoms eased. L2 -month follow-up after power-bit fixed segment X-ray showed no abnormal activity compared with postoperative vertebral height change of 0. 5% on average, while not found pedicle nail loosening, fracture. Conclusion:The treatment of short-segment pedicle screw fixa-tion might be an effective way to treat severe burst fractures of the thoracolumbar, it shouldbe an effective method with decompression, re-duction and internal fixation, but it should be reasonablly controlled the surgery sign due to the surgical trauma.