Follow-up study on pedicle fixation for treatment of thoracolumbar burst fractures in patients with osteoporosis
10.11659/jjssx.04E017002
- VernacularTitle:伤椎置钉治疗骨质疏松性椎体爆裂骨折的随访研究
- Author:
Zhikui YANG
;
Jianan DAI
;
Xi CAO
;
Yonggang LI
;
Peng LI
;
Xin GAO
;
Chong LIU
;
Mei ZHENG
- Keywords:
pedicle fixation;
thoracolumbar burst fracture;
osteoporosis;
surgery;
functional recovery
- From:
Journal of Regional Anatomy and Operative Surgery
2017;26(8):581-585
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of pedicle fixation for treatment of thoracolumbar burst fractures in patients with osteoporosis,and to provide more evidence for the treatment.Methods Retrospectively analyzed the clinical data of 121 patients with osteoporotic vertebral burst fracture from June 2012 to October 2015.And these patients were divided into two groups according to different operation methods, namely the control group (n=56) who were given short segment fixation and the observation group (n=65) who were given single segment fixation.The visual analogue scale(VAS),Oswestry disability index(ODI),vertebral height,kyphotic angle and bone mineral density of the two groups were analyzed before surgery and 3 days,1 month,3 months and 12 months after surgery.Results The VAS score,ODI score,vertebral height,and Cobb angle of the injured vertebra were significantly improved in both of the two groups,and the difference was statistically significant (P<0.05).The VAS score of the observation group was better than that of the control group 3 days after surgery with statistically significant difference (P<0.05).But there was no significant difference 3 months,6 months and 12 months after surgery(P>0.05).The ODI score of the observation group was better than that of the control group 3 days and 3 months after surgery with statistically significant difference (P<0.05),and there was no significant difference between the two groups till the end of follow-up.Pedicle fixation at the injured vertebra significantly improved the vertebral height and Cobb angle with statistically significant difference (P<0.05).And the anti-osteoporosis treatment significantly increased the bone mineral density (P<0.05).Conclusion Pedicle fixation at the injured vertebra is useful in pain relief as well as function and anatomical structure restoring.And anti-osteoporosis treatment is necessary for the bone mineral density increase.
