Clinical Observation of Short-segment Percutaneous Pedicle Screw Non-fusion Fixation Plus Electro-acupuncture for Treatment of Single Thoracolumbar Fracture
10.13359/j.cnki.gzxbtcm.2017.03.015
- VernacularTitle:短节段不植骨经皮椎弓根钉固定术配合电针治疗胸腰椎单节段骨折的疗效观察
- Author:
Meng PAN
;
Anping PI
;
Jingliang WANG
;
Jianwen WANG
- Keywords:
percutaneous pedicle screw fixation;
without fusion;
thoracolumbar fractures;
electro-acupuncture therapy;
Jiaji (EX-B2);
Huantiao(GB30);
Zhibian(BL54)
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2017;34(3):360-364
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility of short-segment percutaneous pedicle screw non-fusion fixation plus electro-acupuncture for the treatment of single thoracolumbar fracture.Methods Forty-three patients with single thoracolumbar fracture were treated with short-segment percutaneous pedicle screw fixation without fusion,and then were given electro-acupuncture on points such as Jiaji (EX-B2),Huantiao (GB30),and Zhibian (BL54) after the operation.Before and after operation and during the follow-up,X-ray images of the spine at positive position and lateral position were taken for the measurement of vertebral anterior and posterior diameter ratio and the vetebral kyphosis Cobb's angle.Lumbago visual analogue scale (VAS) scores and Oswestry scores for lumbago function disorder were used for the evaluation of clinical efficacy.Results (1) All of the 43 patients were followed-up,and the follow-up period lasted for 10-27 months.(2) After the operation and at the end of follow-up,vertebral anterior and posterior diameter ratio and Cobb's angle were much improved (P ＜ 0.01compared with those before the operation),and the two indexes at the end of follow-up were improved as compared with those after the operation (P ＜ 0.05).(3) One week after the operation and at the end of follow-up,VAS scores and Oswestry scores were obviously improved as compared with those before treatment (P ＜ 0.01),and the two kinds of scores at the end of follow-up were also improved as compared with those after the operation (P ＜0.01).Conclusion Short-segment percutaneous pedicle screw fixation without fusion plus electro-acupuncture at points such as Jiaji is effective for the treatment of single thoracolumbar fracture by relieving pain in the waist and back,which ensures the satisfactory effect of operation.
