Fixation and Autograft through Pedicle of Fractured Vertebrae for Thoracolumbar Burst Fracture

VernacularTitle:经伤椎内固定植骨对胸腰椎爆裂性骨折的临床疗效
Author: Wupeng YANG ; Zhe WANG ; Naiqi FENG ; Zhanming YAN ; Chunmei WANG ; Shumin WANG
Publication Type:Journal Article
Keywords: thoracolumbar vertebrae, burst fracture, fixation, autograft
From: Chinese Journal of Rehabilitation Theory and Practice 2013;19(7):680-683
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical outcome of fixation and autograft through the pedicle of fractured vertebrae for thoracolumbar burst fracture. Methods 138 cases with thoracolumbar burst fracture were retrospectively analyzed. 30 cases (group A) accepted 4 pedicle screw fixation with autogrft, and other 108 cases (group B) accepted internal fixation through the pedicle of fractured vertebrae with autogrft. All the cases were followed up for 22~72 months. Results The fractured vertebral height and Cobb's angle recovered and the neurological function improved after treatment in both groups (P<0.05), but there was no significant difference between 2 groups. There was significant difference in Visual Analogue Score for back pain (P<0.05). Conclusion Vertebral pedicle screw fixation with transpedicular autograft is an effective operation for thoracolumbar burst fracture, especially on back pain.