The curative effect of two methods of surgical treatment for thoracolumbar fractures
10.3969/j.issn.1671-8348.2014.20.006
- VernacularTitle:两种手术方法治疗胸腰椎骨折的疗效比较
- Author:
Shuqiang LI
;
Sheng YANG
;
Jianmin LU
;
Dewei ZHAO
;
Haoyi LIAN
;
Dapeng FU
;
Guoquan ZHAO
;
Huaxing CHEN
- Publication Type:Journal Article
- Keywords:
posterior;
paravertebral muscle;
schanz screw;
thoracolumbar fracture
- From:
Chongqing Medicine
2014;(20):2559-2562
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the curative effects of the traditional surgical method of posterior pedicle Schanz screw fixa-tion with partially stripping injured paravertebral muscle in treating thoracolumbar fracture .Methods 52 cases with thoracolumbar fracture underwent posterior pedicle Schanz screw fixation to partially strip injured paravertebral muscle from January ,2010 to Jan-uary ,2012 .The patients were divided into partially stripping injured paravertebral muscle group (32 cases) and traditionally strip-ping injured paravertebral muscle group(20 cases) .The blood loss ,postoperative drainage ,kyphosis postoperative 3 d VAS scores , vertebral height correction rate ,Cobb angle correction ,Oswestry dysfunction indexes were copmared .Results Comparing with tra-ditionally stripping injured paravertebral muscle group ,the partially stripping injured paravertebral muscle group has better effect in transperative blood loss ,postoperative drainage and postoperative 3 d VAS scores ,the differences were statistically significant .But there was no statistical significance between the two groups in vertebral height correction rate ,kyphosis Cobb angle correction ,Os-westry dysfunction indexes .Conclusion Partially strip injured paravertebral muscle has less painful than traditional surgery does , being safe and effective with small invasion and easy to recover .
