불안정 경척추 골절 및 아탈구의 내고정술 = Internal Fixation of the Unstable Cervical Spine Fracture and Subluxation

국문 초록 (Abstract)

불안정 하경추손상의 치료로서 기구고정술이 Halo vest에 의한 고식적 치료법보다 효과적인 방법이라 할 수 있으며, 여러 가지의 내고정기구는 각기 특성을 가지고 있으므로 어느 한가지만으로 모든 유형의 손상에 다 적용할 수는 없다. 따라서 골절(손상) 양상이나 신경압박 부위 및 술자의 기호에 따라 알맞는 내고정기구를 택하여 보다 더 세밀한 시술을 함으로써 Halo Vest등의 고식적요법에 비해 좋은 결과를 얻을 수 있다.

다국어 초록 (Multilingual Abstract)

Recently various kinds of anterior or posterior cervical instruments have been used for stabilization of unstable cervical spinal injury.
Every device has different characteristics, so none can cover all of the various types of unstable injuries. Forty six patients of unstable cervical spine fracture and subluxation underwent stabilizing operation using the anterior Caspar plate (6 cases) and the Roy-Camille posterior plate system (40 cases) during recent 3-years. Each approach employed depends on the site of compression and mechanism of injury. Six patients who had complete neurological injury expired after the surgery. The follow-up period for the 40 patients was from 5 to 32 months (average-17.5 months). During follow-up period, 16 out 22 patients (72.7％) who had a neurological deficit showed minimal to moderate improvement and only 4 patients (10％) complained of significant arm or neck pain. The only complication of instrumentation was 5 cases of screw breakout, but 3 of them did not have any problem. Radiologically 37 patients(92.5％) had firm fixation after surgery.