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감입기 (Impactor)를 이용한 흉추 및 요추부 방출성골절의 치료

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Author(s)
강창수편영식손승원송광순강철형김형수
Keimyung Author(s)
Kang, Chang SooPyun, Young SikSohn, Sung WonSong, Kwang SoonKang, Chul Hyung
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
대한정형외과학회지
Issued Date
1991
Volume
26
Issue
1
Keyword
Burst fractureThoracic & lumbar spineRetropulsed fragmentsImpactor
Abstract
The goals of surgical treatment of spine fractures are : (1) to correct the deformity ; (2) to reduce displaced bone fragments endangering the neural elements ; and (3) to stabilize the spine which became unstable due to the fracture or rupture of ligaments. The correction of deformity or the fixation of spine fractures are now easily accomplished through the use of one of the many fixation devices, but the reduction of posteriorly displaced fragments in burst fractures is highly debated. In the case of a burst fracture with retropulsed fragments, sufficient decompression can not be achieved by laminectomy alone. Anterior surgical decompression followed by posterior stabilization and fusion can achieve ideal results, but is too aggressive for us to accept. We have successfully treated burst fractures by laminectomy, reduction of retropulsed fragments by using specially, designed impactors, posterior instrumentation and fusion via a posterior approach. From January 1988 to December 1989, we treated burst fractures of the thoracic and lumbar spine using the above mentioned method with success. We wish to share our method and results through a review of documented studies.
Alternative Title
Treatment of Burst Fracture of the Thoracic and Lumbar Spine with an Impactor
Keimyung Author(s)(Kor)
강창수
편영식
손승원
송광순
강철형
Publisher
School of Medicine
Citation
강창수 et al. (1991). 감입기 (Impactor)를 이용한 흉추 및 요추부 방출성골절의 치료. 대한정형외과학회지, 26(1), 125–137.
Type
Article
ISSN
1226-2102
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39501
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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