CAJ | 학술논문

目的探讨 Can - Help 微创椎弓根螺钉系统和 Sextant 微创椎弓根螺钉系统治疗胸腰椎骨折临床疗效差异，为临床治疗方案的制定提供参考。方法选取收治胸腰椎骨折患者54例，随机分为 A 组（27例）和 B 组（27例），分别采用 Can - Help 微创椎弓根螺钉系统和 Sextant 微创椎弓根螺钉系统治疗。比较两组患者手术时间、术中出血量、术中 X 线的暴露时间、手术前后 cobb 角、视觉模拟评分（VAS）、OSWESTRY 功能障碍指数水平及术后并发症发生情况。结果 A 组的手术时间、术中出血量为及术中 X 线暴露时间为均显著少于 B 组（ P ﹤0.05）；A 组术后1周、3个月及6个月 cobb 角度数均显著低于 B 组（均 P ﹤0.05）；A 组术后3个月和6个月 VAS 评分均显著低于 B 组（ P ﹤0.05），A 组术后1周、3个月及6个月 OSWESTRY 功能障碍指数评分均显著低于 B 组（ P ﹤0.05）。结论相对于 Sextant 微创椎弓根螺钉系统，Can - Help 微创椎弓根螺钉系统治疗可有效矫正伤椎畸形，降低患者术后矫正角度丢失风险。
목적탐토 Can - Help 미창추궁근라정계통화 Sextant 미창추궁근라정계통치료흉요추골절림상료효차이，위림상치료방안적제정제공삼고。방법선취수치흉요추골절환자54례，수궤분위 A 조（27례）화 B 조（27례），분별채용 Can - Help 미창추궁근라정계통화 Sextant 미창추궁근라정계통치료。비교량조환자수술시간、술중출혈량、술중 X 선적폭로시간、수술전후 cobb 각、시각모의평분（VAS）、OSWESTRY 공능장애지수수평급술후병발증발생정황。결과 A 조적수술시간、술중출혈량위급술중 X 선폭로시간위균현저소우 B 조（ P ﹤0.05）；A 조술후1주、3개월급6개월 cobb 각도수균현저저우 B 조（균 P ﹤0.05）；A 조술후3개월화6개월 VAS 평분균현저저우 B 조（ P ﹤0.05），A 조술후1주、3개월급6개월 OSWESTRY 공능장애지수평분균현저저우 B 조（ P ﹤0.05）。결론상대우 Sextant 미창추궁근라정계통，Can - Help 미창추궁근라정계통치료가유효교정상추기형，강저환자술후교정각도주실풍험。
Objective To explore the clinical effect of application of different kinds of minimally invasive pedicle screw system including Can - Help minimally invasive pedicle screw system and Sextant minimally invasive pedicle screw system in treatment of patients with thoracolum-bar fractures. Methods A total of 54 patients with thoracolumbar fractures were chosen for this study,and they were randomly divided into 2 groups including patients in group A(27 cases)treated with Can - Help minimally invasive pedicle screw system and patients in group B(27 ca-ses)were treated with Sextant minimally invasive pedicle screw system;and the operating time,amount ofintraoperative blood loss,exposure time of X ray,Cobb angle,VAS scores,Oswestry dysfunction index and the occurrence of postoperative complications in patients of both groups were compared. Results The operating time,amount of intraoperative blood loss and exposure time of X ray in patients of group B were significantly better thanthose of patients in group A( P ﹤ 0. 05). The degrees of Cobb angle in 1 week,3 months and 6 months after operationin patients of group A were significantly lower than those of patients in group B( P ﹤ 0. 05). The VAS scores in 3 months and 6 months after operation in pa-tients of group A were significantly lower than those of patients in group B( P ﹤ 0. 05). The Oswestry dysfunction indexes in 1 week,3 months and 6 months after operation in patients of group Awere significantly lower than those of patients in group B( P ﹤ 0. 05). Conclusion In com-parison with Sextant minimally invasive pedicle screw system,Can - Help minimally invasive pedicle screw system in treatment of thoracolumbar fractures can efficiently rectify the vertebral deformity and reduce the risk of postoperative correction.