CAJ | 학술논문

目的：探讨低位颈前入路减压植骨融合内固定治疗颈胸段脊柱脊髓损伤的可行性。方法：收治颈胸段脊柱脊髓损伤患者20例，实施低位颈前入路减压植骨融合内固定治疗，对术后疗效及恢复情况进行探讨。结果：所有患者恢复良好，无一例患者出现螺钉松动、脱落、钛板断裂等情况，只有1例在术后经过X片检测后发现其钛网位置固定不佳，术后0.5年对其进行了调整，术后1年检测见其恢复良好，没有出现钛网移动情况。结论：颈胸段脊柱脊髓损伤患者采用低位颈前入路减压植骨融合内固定治疗，可以有效促进患者颈胸段脊柱序列恢复正常，改善患者的术后恢复情况。
목적：탐토저위경전입로감압식골융합내고정치료경흉단척주척수손상적가행성。방법：수치경흉단척주척수손상환자20례，실시저위경전입로감압식골융합내고정치료，대술후료효급회복정황진행탐토。결과：소유환자회복량호，무일례환자출현라정송동、탈락、태판단렬등정황，지유1례재술후경과X편검측후발현기태망위치고정불가，술후0.5년대기진행료조정，술후1년검측견기회복량호，몰유출현태망이동정황。결론：경흉단척주척수손상환자채용저위경전입로감압식골융합내고정치료，가이유효촉진환자경흉단척주서렬회복정상，개선환자적술후회복정황。
Objective:To explore the feasibility of low anterior cervical approach decompression and bone graft fusion for internal fixation in the treatment of patients with spine and spinal cord trauma in cervicothoracic junction.Methods:20 patients with spine and spinal cord trauma in cervicothoracic junction were selected.All patients were treated with low anterior cervical approach decompression and bone graft fusion for internal fixation.We discussed the efficacy and postoperative recovery of the patients. Results:All patients recovered well,and there was no case with loosening of the screws,loss of the titanium plate,the fracture of the titanium plate and other circumstances.Only 1 case with the position of titanium mesh not well fixed when detected by X tablets after operation.It has been adjusted after six months of surgery,after 1 year of operation,it recovered well,no titanium mesh moved. Conclusion:Patients with spine and spinal cord trauma in cervicothoracic junction with low anterior cervical approach decompression and bone graft fusion and internal fixation for the treatment can effectively promote the patients with cervicothoracic spine sequence returned to normal,and improve the patients' postoperative recovery.