Clinical Effects of Anterior and Posterior Operation in Treating Thoracolumbar Fractures
10.3969/j.issn.1003-4706.2015.10.019
- VernacularTitle:前后路手术治疗胸腰段脊柱骨折的临床疗效分析
- Author:
Gang LIU
1
;
Yu LIANG
Author Information
1. 咸阳市中心医院骨一科
- Keywords:
Thoracolumbar fracture;
Anterior operation;
Posterior operation.
- From:
Journal of Kunming Medical University
2015;36(10):75-79
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effects between the anterior and posterior surgical approaches in treating thoracolmbar fractures.Methods 76 patients with thoracolumbar fractures were treated with anterior or posterior surgery.The clinical effects were evaluated according to the average operation time, blood loss, anterior vertebral height, Cobb's angle and JOA scores assessment of two groups.Results The posterior surgery had shorter operation time and hospital stays, less blood loss and lower complications rate than anterior surgery (P＜ 0.05).There were no statistical difference in anterior vertebral height and Cobb's angle before and 2 weeks after surgical (P＞0.05).The anterior vertebral height, Cobb's angle and JOA scores of anterior surgery were better than posterior surgery (P＜0.05).Conclusion Posterior surgery has advantages in less blood loss, shorter operation time and hospital stays, lower complications rate.The long-term efficacies of anterior surgert in anterior vertebral height, Cobb' s angle and spinal cord function recovery were better than posterior surgery.
