흉·요추부 골절환자의 수술적 치료 결과 = Operative Treatment for Thoracolumbar Spine Fracture

다국어 초록 (Multilingual Abstract)

There have been progressive increase in use of internal fixator for the treatment of thoracolumbar spinal fracture that offers several advantages such as more rigid fixation and stabilization of the fractured spine, earlier mobilization and rehabilitation, prevention of the further deformity, shortening of the hospitalization. We analyzed the clinical outcomes of 28 cases of thoracolumbar spinal fracture patients who had an operation from January 1994 to January 1997.
The results obtained are as follows;
1. Of 28 cases, 17 cases were male and 11 cases were females. Average age was 42 years.
2. The most common site of injuries was L1 (11 cases).
3. The surgical indications are 1) 40% reduction of the height of anterior surface of the vertebra in compression fracture 2) the unstable bursting fracture 3) association with more than 35 degrees kyphotic deformity 4) posterior soft tissue injury in flexion-distraction injury 5) associated with neurologic symptoms.
4. The clinical outcomes as relief of pain, adaptation for the previous job, postoperative complications are good.
5. The proper surgical indication is to be considered as the most important factor in surgical treatment of the thoracolumbar spinal fracture.