Unilateral short-segment pedicle screw fixation for treatment of thoracolumbar fractures
10.11659/jjssx.08E016039
- VernacularTitle:伤椎单侧后路短节段内固定术治疗胸腰椎骨折
- Author:
Xingbin WANG
;
Hongwei WANG
;
Yu CHEN
;
Hailong YU
;
Qi WANG
;
Jun LIU
- Keywords:
spine;
thoracolumbar fractures;
pedicle screw;
fractured vertebra fixation;
unilateral;
bilateral
- From:
Journal of Regional Anatomy and Operative Surgery
2017;26(1):22-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the operation results of unilateral and bilateral short-segment pedicle screw fixation combined with in-termediate screws in thoracolumbar fractures .Methods A total of 73 patients with thoracolumbar fracture were included in our study .Among the 73 patients, 48 cases were treated by bilateral short-segment pedicle screw fixation and the other 25 cases were treated by unilateral short-segment pedicle screw fixation,with a mean follow-up of 24.6 months.Surgical time,surgical blood loss,surgical draining loss,hospital stays, hospitalization cost,Cobb’s angle,kyphosis of the vertebral body ,anterior height of the fracture vertebral body ,VAS and ODI scores between the two groups were compared .Results There were significant differences in the surgical time and hospitalization cost between two groups (P<0.01).The differences in the Cobb’s angle,kyphosis of the vertebral body, and anterior height of the fracture vertebral body before and after surgery between two groups were all significant (P<0.05).There was no significant difference in the loss of the correction at the last fol-low-up between the two groups(P>0.05).Conclusion Unilateral short-segment pedicle screw fixation combined with intermediate screws can significantly correct the kyphosis and achieve the clinical effect of bilateral short -segment pedicle screw fixation technique .Meanwhile , the unilateral short-segment pedicle screw fixation technique can significantly reduce the surgical time and hospitalization cost ,which is an ef-fective method for thoracolumbar fracture .
