CAJ | 학술논문

目的：探讨经椎弓根椎体内植骨加钉棒系统内固定治疗胸腰椎骨折的临床效果。方法自2010年8月至2012年12月，采用特制植骨漏斗，经伤椎椎弓根椎体内植骨，结合短节段钉棒系统内固定，或同时行椎管减压，治疗单节段胸腰椎骨折患者89例。测量伤椎高度及后凸角度，比较手术前后Cobb角的变化，随访伤椎高度丢失情况。结果全部病例经术后1年以上随访，未发生因植骨操作引起的血管、神经损伤等相关并发症，无断钉断棒现象发生，椎体高度恢复至原椎体高度的85%以上，CT显示植骨融合良好，Cobb角丢失约1-2°。结论经椎弓根椎体内植骨加钉棒系统内固定，不仅重建了胸腰椎稳定性，恢复了伤椎高度与脊柱序列，而且明显降低了内固定失败的发生率，临床效果满意。
목적：탐토경추궁근추체내식골가정봉계통내고정치료흉요추골절적림상효과。방법자2010년8월지2012년12월，채용특제식골루두，경상추추궁근추체내식골，결합단절단정봉계통내고정，혹동시행추관감압，치료단절단흉요추골절환자89례。측량상추고도급후철각도，비교수술전후Cobb각적변화，수방상추고도주실정황。결과전부병례경술후1년이상수방，미발생인식골조작인기적혈관、신경손상등상관병발증，무단정단봉현상발생，추체고도회복지원추체고도적85%이상，CT현시식골융합량호，Cobb각주실약1-2°。결론경추궁근추체내식골가정봉계통내고정，불부중건료흉요추은정성，회복료상추고도여척주서렬，이차명현강저료내고정실패적발생솔，림상효과만의。
objective To investigate clinical effects the vertebrae pedicle bone graft and internal fixation nail rod system for treatment of thoracolumbar fractures. Methods From August 2010 to December 2012, adopt special funnel, bone graft by vertebral pedicle vertebral body bone graft injury, combined with short segmental fixation nail stick system, or a line of vertebral canal decompression at the same time, the treatment of 89 patients with single segmental thoracolumbar fractures. Preoperative, postoperative and fol ow-up of the lateral thoracic lumbar segment is slice, measurement of injured vertebral height, comparison of injured vertebral height restoration and bone graft fusion. Results Al cases were fol ow-up after an average of more than 1 year. There were no bleed, nerve damage and others related complications caused by bone graft operation, and no broken nail rod broken phenomenon occurs, vertebral height restoration and good bone graft fusion. Conclusion Most of clinical effects is satisfactory, who treated with the vertebrae pedicle bone graft and internal fixation nail stick system. Such as rebuild the stability of thoracolumbar, recovery of injured vertebral height, spinal sequence, and significantly reduced the incidence of internal fixation failure,.