Treatment of thoracolumbar fracture with pedicle screw system under endoscopy assisted X-tube system
- VernacularTitle:后路内窥镜下(X-tube)椎弓根螺钉内固定治疗胸腰椎骨折
- Author:
Haoyuan LIU
;
Jianming HUANG
;
Jindui LIN
- Publication Type:Journal Article
- Keywords:
thoracolumbar fracture;
internal fixation;
endoscopy;
minimal invasive spinal surgery
- From:
Orthopedic Journal of China
2006;0(16):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To investigate the clinical effects of the treatment of thoracolurnbar fracture with pedicle screw system under endoscopy assisted X-tube system.[Method]Twenty-one cases of pure thracolumbar fracture without neural impairment were treated with pedicle screw system under endoscopy assisted X-tube system.With the image intensifier,the pedicle based in the affected segments were localized and exposed through 4 small incisions(3cm).Transpedicular fixation and reduction by endoscopy assisted X-tube system were performed through the 4 small incisions.[Result]Twenty-one cases were followed up for 12-18 months(averaged,14 months).Radiography showed good reduction fixation of the vertebral bodies,good correction of the kyphosis deformities and good restoration of lumbar motion.[Conclusion]The treatment of thoracolumbar fracture with pedicle screw system under endoscopy assisted X-tube system is indicated for thoracolumbar fracture without neural impairment.This technique has advantages of minimal invasion and early functional recovery.