Curative effect of posterior reduction and interbody fusion in the treatment of thoracolumbar fractures and dislocations

VernacularTitle:后路复位固定椎体间植骨融合治疗胸腰椎骨折脱位疗效观察
Author: Zhi LIU
Publication Type:Journal Article
Keywords: Spinal fractures; Dislocations; Spinal fusion
From: Chinese Journal of Primary Medicine and Pharmacy 2014;(19):2924-2925,2926
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical effects of posterior reduction and interbody fusion in the treatment of thoracolumbar fractures and dislocations ,and its impact on the neural function .Methods 12 cases with thoracolumbar fractures and dislocations were treated with posterior reduction and interbody fusion .After treatment , flange height ,Cobb angle ,nerve function ,complications of internal fixation were observed ,and the clinical efficacy was evaluated.Results The anterior height of fractured vertebrae was significantly increased from (56.7 ±7.9)% to (90.4 ±9.8)% in 12 patients(t=9.3,P<0.05);Cobb angle was significantly reduced from (28.4 ±3.8)°to (7.9 ±2.9)°(t=14.9,P<0.05);The grade of neural function was obviously improved (from 2 cases A,5 cases B, 4 cases C and 1 case D to 1 case A,1 case B,2 cases C,6 cases D and 2 cases E),and there were no serious compli-cations.Conclusion The clinical effect of posterior reduction and interbody fusion in the treatment of thoracolumbar fractures and dislocations was good ,which is worthy of clinical application .