[Treatment of thoracolumbar burst fractures with intelligent inflated reduction combined with percutaneous pedicle screw fixation].
Zhongguo Gu Shang. 2018 Aug 25;31(eight):698-702
Authors: Shao RX, Chen BY, Zhou H, Pan H, Yue J, Chen HG, Yang HJ, Hu QF, Quan RF
OBJECTIVE: To guage the scientific end result of clever inflated discount mixed with percutaneous pedicle screw fixation in treating thoracolumbar burst fractures.
METHODS: The scientific information of 22 sufferers with thoracolumbar burst fractures of single section handled from January 2013 to December 2015 have been retrospectively analyzed. There have been 12 males and 10 females, aged from 32 to 56 years previous with a mean of (42.four±eight.6) years. Self-made clever pneumatic reset instrument was utilized to 22 instances beneath anaesthesia discount, after which percutaneous pedicle screw fixation was carried out. Medical options have been noticed and the scientific results have been evaluated by VAS, ODI, kyphotic angle (Cobb angle) and the injured vertebral anterior border peak earlier than and after operation.
RESULTS: All of the sufferers have been adopted up from 1 to 2.5 years with a mean of 18 months. All fractures obtained bone therapeutic, no issues resembling loosening, displacement, breakage of pedicle screw and kyphosis have been discovered. Preoperative, 1 week postoperative, and last follow-up, VAS scores of lumbar ache have been 7.82±zero.85, three.09±zero.92, 1.05±zero.72;ODI scores have been 84.2±11.2, 46.three±9.zero, 12.2±four.three;Cobb angle have been (16.three±5.four)°, (three.7±2.2)°, ( 5.5±2.6)°; the injured vertebral anterior border heights have been (59.5±7.eight)%, (86.9±6.zero)%, (83.5±5.5)%, respectively. There was vital variations in VAS, ODI scores between any two occasions(P<zero.05). At 1 week postoperative and last follow-up, Cobb angle, injuried vertebral anterior border peak have been clearly improved (P<zero.05), and there was no vital distinction between postoperative 1 week and last follow-up (P>zero.05).
CONCLUSIONS: It’s protected and possible surgical approach that clever inflated discount mixed with percutaneous pedicle screw fixation for thoracolumbar burst fractures. It has benefit of little trauma, dependable fixation, and fewer complication, and so forth. Subsequently, it’s a better option for single-segment thoracolumbar burst fractures.
PMID: 30185001 [PubMed – in process]