CAJ | 학술논문

目的：探究侧前路矫形治疗脊柱胸腰段陈旧性骨折伴后凸畸形的效果，以便为治疗提供指导。方法回顾性分析该院收治的46例脊柱胸腰段陈旧性骨折伴后凸畸形患者资料，所有患者均进行侧前路矫形治疗，观察记录术前以及术后1年内患者的Cobb角和VAS评分。结果术后1年后凸Cobb角平均为(12.4±5.2)o；术前VAS评分平均为(5.78±0.85)，术后1年VAS评分平均为(0.56±0.13)，所有患者后凸Cobb角、VAS评分较术前均有明显改善，差异有统计学意义(P<0.05)。结论对脊柱胸腰段陈旧性骨折伴后凸畸形患者进行前侧路矫形治疗效果明显，能够防止术后并发症的发生，减轻患者的疼痛程度，改善后凸Cobb角，值得临床推广。
목적：탐구측전로교형치료척주흉요단진구성골절반후철기형적효과，이편위치료제공지도。방법회고성분석해원수치적46례척주흉요단진구성골절반후철기형환자자료，소유환자균진행측전로교형치료，관찰기록술전이급술후1년내환자적Cobb각화VAS평분。결과술후1년후철Cobb각평균위(12.4±5.2)o；술전VAS평분평균위(5.78±0.85)，술후1년VAS평분평균위(0.56±0.13)，소유환자후철Cobb각、VAS평분교술전균유명현개선，차이유통계학의의(P<0.05)。결론대척주흉요단진구성골절반후철기형환자진행전측로교형치료효과명현，능구방지술후병발증적발생，감경환자적동통정도，개선후철Cobb각，치득림상추엄。
Objective To explore effect of orthopedic treatment through side-anterior approach for obsolete thoracolumbar vertebral fractures combined with kyphosis deformity so as to provide guidance for treatment. Methods The data of 46 patients with obsolete thoracolumbar vertebral fractures combined with kyphosis deformity admitted to our hospital were retrospectively analyzed. All of them received orthopedic treatment through side-anterior approach. Cobb Angle and VAS score before operation and that within one year after operation were observed and recorded. Results Postoperative convex Cobb Angle after a year on average for (12.4±5.2);Preoperative VAS score average (5.78±0.85), postoperative VAS score a year on average (0.56±0.13), all of the patients of the protruding after Cobb Angle, VAS scores compared with preoperative were improved significantly (P<0.05), with statistical signifi-cance. Conclusion The spinal column chest waist section of old patients with protrusion deformity after with fracture of the side road orthopaedic treatment effect is obvious, can prevent the occurrence of postoperative complications, ease the pain of patients, improve the protruding after Cobb Angle, worth clinical promotion.