CAJ | 학술논문

目的：探讨胸腰椎骨折在 TLICS 评分系统指导下的疗效。方法通过对68例胸腰椎骨折病例的治疗，回顾性分析 TLICS 评分系统对胸腰骨折治疗的临床指导价值，比较治疗前、后伤椎椎前高度、后凸Cobb 角、VAS 评分、改良 JOA 评分及 Frankel 脊髓神经功能分级指标。结果各病例均获得良好随访，各患者治疗后均获得良好复位，无手术严重并发症(如内固定物松动、断裂及脊髓、神经损伤)，治疗前后VAS 评分、伤椎椎前高度、后凸 Cobb 角、改良 JOA 评分比较均有统计学意义（P ＜0.05），脊髓神经功能明显改善，治疗前后 Frankel 脊髓神经功能评分具有统计学意义（P ＜0.05）。结论 TLISS 评分系统简单、实用、可操作性高，对临床治疗方案有明确指导作用。
목적：탐토흉요추골절재 TLICS 평분계통지도하적료효。방법통과대68례흉요추골절병례적치료，회고성분석 TLICS 평분계통대흉요골절치료적림상지도개치，비교치료전、후상추추전고도、후철Cobb 각、VAS 평분、개량 JOA 평분급 Frankel 척수신경공능분급지표。결과각병례균획득량호수방，각환자치료후균획득량호복위，무수술엄중병발증(여내고정물송동、단렬급척수、신경손상)，치료전후VAS 평분、상추추전고도、후철 Cobb 각、개량 JOA 평분비교균유통계학의의（P ＜0.05），척수신경공능명현개선，치료전후 Frankel 척수신경공능평분구유통계학의의（P ＜0.05）。결론 TLISS 평분계통간단、실용、가조작성고，대림상치료방안유명학지도작용。
Objective To investigate the effect of the treatment of thoracolumbar vertebral fractures in the TLICS scoring system. Methods 68 cases with thoracolumbar fracture were retrospectively analyze the TLICS score system on the clinical value of the treatment of thoracolumbar fracture, compared with those before the treatment, after injury vertebral vertebral height, Cobb angle, VAS score, modified JOA score and Frankel neurological classification index. Results All cases had obtained good follow-up, the patients after treatment were obtained good reduction, no major complications (such as internal fixation loosening, fracture and spinal cord, nerve injury), before and after the treatment, the VAS score, injured vertebral vertebral front height, after Cobb angle, improved JOA score comparisons were statistically significant (P<0.05). Spinal cord neurological function was improved, before and after the treatment, the Frankel neurological function scores were statistically significant (P<0.05). Conclusion The TLISS scoring system is simple, practical and operable, and it can be used to guide clinical treatment.