흉·요추 및 요추골절 환자에서 외과적 감압 및 기구 고정 = Surgical Decompression and Stabilization with Instrumentation in Thoracolumbar and Lumbar Spine Fracture

국문 초록 (Abstract)

최근 2년간 본 영남대학교 신경외과학교실에서 20예의 흉요추 및 요추 골절 환자의 치료를 경험하였던 바, 전방 2columns의 불안정한 척추 골절로서 척수신경이 전방의 골편에 의해 악박되고 있는 경우는 전방도달술로 감압 및 기구 고정술을 시행함으로써 보다 효과적인 결과를 기대할수 있겠고, posterior colummn의 심한 병변으로 전방에서 척수 압박이 별로 없는 불안정 척추골절의 경우는 보다더 용이한 후방도달술로 내고정을 기하는 것도 좋은 치료법이라 할 수 있겠다.

다국어 초록 (Multilingual Abstract)

Twenty patients with a major thoracolumbar or lumbar spine fractures were treated with various kinds of internal fixation device through anterior or posterior approach during last 2 years.
Anterior spinal surgery(10 patients) applied to the patients who had a major fracture of anterior compartment with neural canal impingement and consisted of anterior decompression through vertebrectomy and stabilization with Kaneda device.
Posterior spinal surgery(9 patients) applied to mainly posterior compartment injury and consisted of stabilization with Harrington instrumentation(3 patients) and Roy-Camille plate system(6 patients).
The other one patient was treated with a combined approach of anterior decompression and posterior Harrington instrumentation.
No patient showed neurological deterioration after surgery and 15 patients(75%) improved postoperatively with entering the next Frankel subgroup.
Radiologic evaluation showed the correction of the fracture deformity with satisfactory outcome postoperatively.
There was no significant difference between anterior and posterior spinal surgery regarding operative result.