中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
1期
144-146
,共3页
李鹏%侯秀伟%胡军华%徐永辉%吴广良
李鵬%侯秀偉%鬍軍華%徐永輝%吳廣良
리붕%후수위%호군화%서영휘%오엄량
胸腰椎骨折%后凸畸形%截骨%矫形
胸腰椎骨摺%後凸畸形%截骨%矯形
흉요추골절%후철기형%절골%교형
Thoracolumbar vertebrae%Kyphosis%Osteotomy%Correction
目的：评价后路经关节突截骨矫正治疗老年胸腰椎骨折所致后凸畸形的效果。方法：对18例老年骨质疏松性压缩骨折后凸畸形采用后路截骨矫正治疗。结果：术前Cobb角12.1°，术后Cobb角平均为2.8°。随访8~26个月（平均14个月），所有病例均无钉棒松动断裂，术后疼痛明显缓解。结论：后路经关节突截骨矫正治疗老年胸腰椎骨折所致后凸畸形疗效满意。
目的：評價後路經關節突截骨矯正治療老年胸腰椎骨摺所緻後凸畸形的效果。方法：對18例老年骨質疏鬆性壓縮骨摺後凸畸形採用後路截骨矯正治療。結果：術前Cobb角12.1°，術後Cobb角平均為2.8°。隨訪8~26箇月（平均14箇月），所有病例均無釘棒鬆動斷裂，術後疼痛明顯緩解。結論：後路經關節突截骨矯正治療老年胸腰椎骨摺所緻後凸畸形療效滿意。
목적：평개후로경관절돌절골교정치료노년흉요추골절소치후철기형적효과。방법：대18례노년골질소송성압축골절후철기형채용후로절골교정치료。결과：술전Cobb각12.1°，술후Cobb각평균위2.8°。수방8~26개월（평균14개월），소유병례균무정봉송동단렬，술후동통명현완해。결론：후로경관절돌절골교정치료노년흉요추골절소치후철기형료효만의。
Objective:To investigate the clinical outcome of posterior Trans-articular V shape osteotomy way for kyphosis secondary to thoracolumbar fracture in elderly.Method:18 elderly patients with thoracolumbar kyphosis caused by delayed osteoporotie vertebral fracture were treated by transpedicular wedge osteotomy or trans-articular V shape osteotomy.Result:Cobb angle was 2.8° in average. and before operation Cobb angle was 12.1° in average.All cases were followed up for 8 months to 26 months(average,14 months).There was no instrument related complication. The back pain was released in both cases after receiving this treatment.Conclusion:Posterior trans-articular V shape osteotomy way for kyphosis secondary to thoracolumbar fracture in elderly is effective and reliable.
