摘要
Abstract
Objective To research the clinical effect of minimally invasive percutaneous pedicle screw fixation for traumatic thoracolumbar vertebral compression fractures.Methods A total of 15 traumatic thoracolumbar vertebral compression fractures patients,injured vertebral body located in T12-L3 and definited A3 type fracture,were included.There were no symptoms of spinal cord injury.Minimally invasive percutaneous pedicle screw fixation was used.The operation time,amount of bleeding,postoperative drainage,and hospitalization time were observed.All patients were followed up for 12 months,observed and recorded the changes of anterior vertebral height ratio,sagittal kyphotic cobb angle,intervertebral height and VAS score before surgery,immediately after surgery,postoperative 2 month,6 months and 12 months.Results The average operation time was (85 ± 8.4) min,the amount of hemorrhage was (80.8 ± 17.8) mL,postoperative drainage volume was (3.2 ± 0.8) mL,hospitalization time was (6.8 ± 0.8) d.Wound infection,iatrogenic nerve root injury,pedicle screw extrusion,fracture and other complications were not found during hospitalization.There were significant differences in the VAS score at different time points after operation (P ＜ 0.01).The percentage of anterior vertebral height,cobs angle and intervertebral height were better after operation than before surgery.Pedicle screw extrusion,fracture and other complications were not found in all patients.Conclusion The application of minimally invasive percutaneous pedicle screw fixation for the treatment of traumatic thoracolumbar vertebral compression fracture has a few advantage of reduction and fixation surgery,smaller wound,less bleeding,less postoperative complications,less pain and faster recovery speed.关键词
经皮微创椎弓根钉内固定术/创伤/胸腰椎压缩骨折/临床疗效Key words
Percutaneous minimally invasive pedicle screw fixation/trauma/thoracolumbar vertebral compression fractures/clinical effect分类
医药卫生
