Surgical treatment of thoracolumbar fracture without neurological deficit
- VernacularTitle:无神经损伤的胸腰椎骨折的手术治疗
- Author:
Qiang WANG
- Publication Type:Journal Article
- Keywords:
thoracolumbar;
fracture;
without;
neurological deficit
- From:
Orthopedic Journal of China
2006;0(18):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the clinical outcome and advantages of surgical treatment of thoracolumbar fracture without neurological defect.[Method]From July 2003 to July 2006,23 cases of AO type A or type B thoracolumbar fracture without neurological defect were treated operatively. The anterior height of vertebral body lost more than 40% before operation,and 70% of the patients had an intracanal fragment.Transpedicular screw reduction and fixation were performed and bone fusion with inter transverse process and interlaminar bone graft were performed.[Result]The anterior height of vertebral body and the intervertebral body angle improved significantly after operation. And the rate of spinal stenosis decreased from 38% before operation to 12% 3 months after operation. 81% achieved bone fusion 1 year after operation.[Conclusion]The surgical treatment of thoracolumbar fracture without neurological deficit has the advantages of restoration of vertebral body height effectively,correction the deformity,restoration of the spinal volume and prevention the progressive of neurological deficit.In order to achieve long-term stability,bone fusion should be performed at the some time.
