Selection of operation for old thoracolumbar fracture:anterior fixation versus posterior vertebral osteotomy
- VernacularTitle:陈旧性胸腰椎骨折的术式选择——前路固定与后路椎体截骨术的比较
- Author:
Lin HU
;
Wei TIAN
;
Bo LIU
;
Qin LI
;
Zhiyu LI
;
Qiang YUAN
;
- Publication Type:Journal Article
- Keywords:
Thoracolumbar spine;
Fracture;
Osteotomy;
Fracture fixation, internal
- From:
Chinese Journal of Orthopaedic Trauma
2004;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the surgical results between anterior fixation and posterior vertebral osteotomy in patients with old thoracolumbar fracture. Methods 39 cases of old thoracolumbar fracture with posttraumatic kyphosis and neurologic compromise underwent either anterior fixation (n=19) or posterior vertebral osteotomy(n=20). In the anterior group, the average patient age was 38.3 years (range:21 to 64), the mean time from injury to operation was 5.3 months (range:2 to 16), and the mean preoperative kyphotic angle was 25.2?(range:10?to 43?). In the posterior group, the average patient age was 39.9 years (range:18 to 68), the mean time from injury to operation was 5.6 years (range: 2months to 16 years), and the mean preoperative kyphotic angle was 27.6?(range:5?to 60?). Results In the anterior group, the mean operation time was 274 minutes (range:140 to 395) with a mean blood loss of 994 mL (range: 300 to 2000), the mean postoperative kyphotic angle was 14.7?(range: 0?to 35?), and the mean angle of correction was 10.5 ?(range: 5?to 16?). In the posterior group, the mean operation time was 283 minutes (range:190 to 390) with a mean blood loss of 1654 mL (range: 800 to 3800), the mean postoperative kyphotic angle was 4.4?(range:-10?to 35?), and the mean angle of correction was 23.2?(range: 7?to 40?). All the patients with incomplete neural injury had improvement of neurologic function. Conclusion The posterior vertebral osteotomy can produce better results in kyphotic correction, while it does not increase the trauma of operation.
