Abstract:Objective To compare the clinical efficacy of percutaneous pedicle screw fixation and traditional open surgury for thoracolumbar fracture without neurolodical deficit.Methods A retrospective analysis was made with the dataof 49 thoracolumbar fractures patients in our hospital from September 2015 to September 2017.26 cases were treated with open pedicle screw fixation and 23 cases were treated with percutaneous pedicle screw fixation.Clinica and surgical evaluation including perioperative indicators,anterior height ratio of fracture vertebral,kyphosis angle of injured vertebra,visual Analogue Score (VAS score),the Oswestry Disability Index(ODI score).Results The intraoperative blood loss,length of hospital stay and VAS score 2 days after surgery of the percutaneous group were significantly lower than the open group (P<0.05),which suggest percutaneous group will suffer less trauma.There was no significant difference between the two groups in the anterior height ratio of fracture vertebral of postoperative and the kyphosis angle of injured vertebra (P>0.05),which suggest the two surgical can provide good correction and reduction for the fractured.There was no statistically significant difference between the two groups in VAS score at the last follow-up (P>0.05),and there was significant difference between the two groups in ODI score (P<0.05),which indicate that the percutaneous group had a higher quality of life.Conclusion Percutaneous pedicle screw fixation has the advantages of smaller intraoperative blood loss,smaller incision,shorter hospitalization time,lower pain,better lumbar and dorsal muscle function.Patients are beneficial in the early postoperative period and have good clinical efficacy in the long term.It can be regarded as one of the excellent options for the treatment of thoracolumbar type A fracture.
苏学渊 1,宋文慧 2,刘义伟 1,宋正东 1. 经皮与开放椎弓根钉内固定术治疗无神经损伤胸腰椎A型骨折的疗效对比[J]. 实用骨科杂志, 2019, 25(10): 870-874.
Su Xueyuan 1,Song Wenhui 2,Liu Yiwei 1,et al. Comparison of Percutaneous and Open Pedicle Screw Fixation for Treatment of Type A Thoracolumbar Fractures. sygkzz, 2019, 25(10): 870-874.
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