经皮微创治疗胸腰段脊柱骨折的临床效果

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Abstract Objective To observe the clinical effect of percutaneous minimally invasive pedicle screw fixation for the treatment of thoracolumbar fractures. Methods The clinical data of 108 patients with thoracolumbar spine fractures were selected who had received treatment in the Inner Mongolia People′s Hospital form July 2017 to July 2018. According to the different surgical methods applied, these patients were divided into control group and observation group with 54 cases in each group. The control group was underwent open surgery for pedicle screw fixation, and the observation group was underwent percutaneous minimally invasive surgery for pedicle screw fixation. The surgical indexes, spinal morphology and complications were compared between the two groups. Results There was no statistically significant difference between the two groups (P ＞ 0.05). The incision size, blood loss, drainage volume, time for off-bed activities and for fracture line healing, and the length of hospital stay in the observation group were lower than the control group (all P ＜ 0.05). In the observation group and the control group, the postoperative kyphosis Cobb angle and vertebral sagittal plane index and vercebral anterior margin height were improved compared with those before surgery (P ＜ 0.05). The visual analague scale (VAS) score and spine function score in the observation group were lower than the control group (P ＜ 0.05). The total incidence of complications in the observation group was lower than that in the control group (P ＜ 0.05). There was no statistically significant difference in functional recovery grading between the two groups (P ＞ 0.05). Conclusion Percutaneous minimally invasive pedicle screw fixation has the advantages of short operation time, less blood loss and rapid recovery, which can effectively restore the spinal structure of patients with thoracolumbar spinal fractures, reduce postoperative pain, improve spinal function and nerve function, and reduce the probability of postoperative complications, with definite curative effect.

Key words： Spinal fracture Thoracolumbar segment Percutaneous minimally invasive pedicle screw fixation Pain Complications

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	FU Haiping WANG Fei

Cite this article:

FU Haiping WANG Fei. Chinical effects of minimally invasive percutaneous treatment of thoracolumbar spine fractures[J]. 中国医药导报, 2019, 16(14): 104-108.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I14/104

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