Modified minimally invasive percutaneous pedicle screws osteosynthesis (mMIPPSO) for the treatment of thoraco-lumbar fracture without neural impairment
- VernacularTitle:改良经皮椎弓根螺钉内固定(mMIPPSO)治疗无神经障碍胸腰段骨折
- Author:
Huaming XUE
;
Yihui TU
;
Mingwei CAI
- Publication Type:Journal Article
- Keywords:
percutaneous internal fixation;
pedicle screw modified;
minimal invasive thoraco-lumbar fracture
- From:
Orthopedic Journal of China
2006;0(18):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the feasibility and effect of modified minimally invasive percutaneous pedicle screws osteosynthesis for the treatment of thoraco-lumbar vertebra compression fracture.[Method]Twelve cases of thoraco-lumbar fracture without neural impairment were enrolled who did not need laminotomy decompression from June 2005 to June 2007.With the help of C-arm image intensifier,the pedicle screws were inserted through four small longitudinal incisions(1-1.5 cm)and modified surgical instruments.Perioperative parameter,postoperative imaging index,visual analog scale(VAS)and Oswestry Disability Index(ODI)were compared with the treatment of conventional open pedicle screws osteosynthesis in other 18 cases.[Result]All cases were followed up from 8 to 25 months(mean 13.2 months).The operation time and length of stay in minimal invasive group were significantly shorter than that in conventional group,the amount of operative bleeding and drainage of postoperation decreased obviously(P
