CAJ | 학술논문

目的：探讨并分析强直性脊柱炎（AS）合并脊柱骨折的病理特点和预后。方法收集2012年4月至2014年3月我院收治的26例强直性脊柱炎合并脊柱骨折患者资料，分析其病理特点，并进行6个月随访，观察预后效果。结果治疗后的 Frankel 分级及疼痛视觉模拟量表（VAS）评分较治疗前有明显改善（P＜0.05），无内固定脱落等严重并发症。结论 AS合并脊柱骨折的病理特点为骨质疏松、起病隐匿、椎间盘处无骨折线等，应根据患者情况采取合适疗法，手术患者需在术后积极预防并发症，进一步提高预后质量。
목적：탐토병분석강직성척주염（AS）합병척주골절적병리특점화예후。방법수집2012년4월지2014년3월아원수치적26례강직성척주염합병척주골절환자자료，분석기병리특점，병진행6개월수방，관찰예후효과。결과치료후적 Frankel 분급급동통시각모의량표（VAS）평분교치료전유명현개선（P＜0.05），무내고정탈락등엄중병발증。결론 AS합병척주골절적병리특점위골질소송、기병은닉、추간반처무골절선등，응근거환자정황채취합괄요법，수술환자수재술후적겁예방병발증，진일보제고예후질량。
Objective To investigate the ankylosing spondylitis(AS)and pathological characteristics of spinal fractures,and prognostic analysis.Methods From April to 2014 March into 2012 in our hospital 26 cases of ankylosing spondylitis patients with spinal fracture and data,analysis of the pathological features,and 6 months of folow-up,to observe the prognosis effect.Results After treatment of Frankel grading and visual analogue scale(VAS) score improved significantly than before treatment(P<0.05),no serious complications of internal fixation abscission etc.Conclusion AS and pathological characteristics of spinal fracture of osteoporosis,insidious onset,intervertebral disc without fracture line,should take appropriate treatment according to the conditions of patients,operation patients to be active prevention in the postoperative complications, improve the survival quality.