CAJ | 학술논문

目的比较经伤椎椎弓根行椎体内植同种异体骨结合椎弓根内固定系统固定治疗胸腰椎压缩骨折与椎板间植骨结合椎弓根内固定系统固定治疗胸腰椎压缩骨折两种方法疗效的优劣，为临床选择提供依据.方法回顾性分析2007.07~2008.03沧州市中心医院脊柱外科收治的胸腰椎压缩骨折患者，比较实验组与对照组术后椎体高度矫正程度及临床症状改善等方面的差异性.结果实验组与对照组患者均获得随访，经伤椎椎弓根行椎体内植同种异体骨结合椎弓根内固定系统固定组即试验组在改善椎体高度、临床症状改善方面均明显优于对照组(P<0.05).结论椎弓根内固定系统固定结合经伤椎椎弓根行椎体内植同种异体骨治疗胸腰椎压缩骨折可以很好的恢复伤椎高度，并且能够很好的长期维持术后伤椎的高度，避免远期椎体塌陷.在减少迟发性椎体塌陷导致腰背痛、神经症状出现、矫正度丢失、内固定松动断裂等并发症方面有明显优势.
목적비교경상추추궁근행추체내식동충이체골결합추궁근내고정계통고정치료흉요추압축골절여추판간식골결합추궁근내고정계통고정치료흉요추압축골절량충방법료효적우렬，위림상선택제공의거.방법회고성분석2007.07~2008.03창주시중심의원척주외과수치적흉요추압축골절환자，비교실험조여대조조술후추체고도교정정도급림상증상개선등방면적차이성.결과실험조여대조조환자균획득수방，경상추추궁근행추체내식동충이체골결합추궁근내고정계통고정조즉시험조재개선추체고도、림상증상개선방면균명현우우대조조(P<0.05).결론추궁근내고정계통고정결합경상추추궁근행추체내식동충이체골치료흉요추압축골절가이흔호적회복상추고도，병차능구흔호적장기유지술후상추적고도，피면원기추체탑함.재감소지발성추체탑함도치요배통、신경증상출현、교정도주실、내고정송동단렬등병발증방면유명현우세.
Objective :We compare two processes and see which one is better to provide basis for clinical choice. The first method of treatment for thoracolumbar compression fracture is planting allograft bone into fracture vertebral body through pedicle and fixing pedicle screw systems; the second method is planting allograft bone between the vertebral plates and fixing pedicle screw systems. Methods: The thoracolumbar compression fracture patients in department of spinal surgery of cangzhou central hospital from 2007.07 to 2008.03.were analyzed retrospectively, And otherness were compared between the rapeuticgroup and controlgroup, such as ameliorate of vertebral body height and clinical symptoms. Results: All cases in therapeuticgroup and controlgroup were follow-up visited, we found clinical symptom was significantly improved and vertebral body height was significantly ameliorated in therapeuticgroup compared with controlgroup (p<0.05).Conclusion:The method of treatment for thoracolumbar compression fracture that planting allograft bone into fracture vertebral body through pedicle and fixing pedicle screw systems isgood. It can ameliorate fractured vertebral body height significantly, and can maintain fractured vertebral body height in long term after operation, subsidence of vertebral body is avoided. And in this way, rate of back pain、neural symptoms、loss in height、breakage and loosening of internal fixators was reduced.