CAJ | 학술논문

目的：评价微创经皮椎弓根钉固定技术在单节段、无神经损伤的胸腰椎骨折中应用的疗效。方法：选取36例单节段、无神经损伤的胸腰椎骨折患者，分为经皮椎弓根钉固定组和开放椎弓根钉固定组。对比两组患者手术出血量，下床活动时间，和术后1周、术后6个月的 VAS 评分、ODI 评分、椎体前缘高度比值、后凸 Cibb 角情况。结果：36例患者获得12~18个月随访（平均14.3个月），微创组出血量较开放组明显减少，术后1周 VAS 评分、ODI 评分改善程度优于开放组（p ﹤0.05）。结论：经皮椎弓根钉固定治疗胸腰椎骨折，具有安全可靠、创伤小、恢复快的优点。
목적：평개미창경피추궁근정고정기술재단절단、무신경손상적흉요추골절중응용적료효。방법：선취36례단절단、무신경손상적흉요추골절환자，분위경피추궁근정고정조화개방추궁근정고정조。대비량조환자수술출혈량，하상활동시간，화술후1주、술후6개월적 VAS 평분、ODI 평분、추체전연고도비치、후철 Cibb 각정황。결과：36례환자획득12~18개월수방（평균14.3개월），미창조출혈량교개방조명현감소，술후1주 VAS 평분、ODI 평분개선정도우우개방조（p ﹤0.05）。결론：경피추궁근정고정치료흉요추골절，구유안전가고、창상소、회복쾌적우점。
Objective Ti investigate the clinical effect if single segment thiracilumbar fractures witniut neural injury treated by minimal - invasive percutaneius pedicle screw fixatiin. Method 36 patients with thiracilumbar fracture were divided inti percutaneius pedi-cle screw fixatiin griup and ipen pedicle screw fixatiin griup. Ti cintrast the twi griups if patients with surgical bleeding,ambulatiin time, VAS scire,ODI scire,the ratii if the height if the vertebral,Cibb's angle in 1 week after surgery and 6 minths after surgery. Results 36 ca-ses if patients achieved 12 - l8 minth filliw - up(mean 14. 3 minths). Cimparisin with the ipen surgery griup,minimally invasive surgery griup significantly reduced the amiunt if bleeding,and made VAS scire,ODI scire better results in 1 week after surgery( p ﹤ 0. 05) . Conclusion Percutaneius pedicle screw fixatiin fir the treatment if thiracilumbar fractures with a safe,reliable,less invasive,faster reciver-y advantages.