CAJ | 학술논문

目的：探讨在骨折椎上应用空心螺钉矫正椎体压缩，椎体成形以及加强胸腰椎骨折后路内固定的方法和效果。方法选取本院16例都存在不同程度骨质疏松的中老年胸腰椎骨折患者，男11例，女5例，年龄43～63岁，平均52岁，所有患者外伤均不超过3周，椎弓根完整，椎管完整，未做任何减压，施行后路常规撑开和恢复。改善腰前凸的同时在骨折椎上应用空心螺钉椎弓根固定，向压缩处椎体内植骨椎体成形。结果椎弓根空心螺钉使骨折复位，椎体成形，术后恢复较好的脊柱前柱高度。结论对中老年胸腰段单一椎体骨折一侧椎弓根完整用骨折椎椎弓根空心螺钉固定椎体成形，可有效恢复压缩椎体的高度，也增强了胸腰椎骨折后路短节段内固定系统的牢固性。
목적：탐토재골절추상응용공심라정교정추체압축，추체성형이급가강흉요추골절후로내고정적방법화효과。방법선취본원16례도존재불동정도골질소송적중노년흉요추골절환자，남11례，녀5례，년령43～63세，평균52세，소유환자외상균불초과3주，추궁근완정，추관완정，미주임하감압，시행후로상규탱개화회복。개선요전철적동시재골절추상응용공심라정추궁근고정，향압축처추체내식골추체성형。결과추궁근공심라정사골절복위，추체성형，술후회복교호적척주전주고도。결론대중노년흉요단단일추체골절일측추궁근완정용골절추추궁근공심라정고정추체성형，가유효회복압축추체적고도，야증강료흉요추골절후로단절단내고정계통적뢰고성。
Objective To explore the application of hollow screws in vertebral compression fracture and effect of posterior fixation of fracture.Method All of the 16 traumatic patients have suffered from varying degrees of osteoporosis for not more than 3 weeks ( 11 male, 5 female, age range, 43~63 years, mean age, 52 years). The vertebral pedicle and spinal canal were complete without decompression.They undergo posterior distraction and recovery routinely with hollow screws used to fix the pedicle and bone graft applied to the compressed vertebral body.Result The height of anterior column recovered well after operation using the vertical hollow screw.Conclusion The height of vertebral body recovered and firmness of posterior short segment was enhanced after hollow screws were used in single segment of thoracolumbar compression fracture in elderly patients.