Comparison of mobile C-arm X-ray system in the surgical treatment of thoracolumbar spine fractures
10.3760/cma.j.cn115396-20220424-00134
- VernacularTitle:移动式C型臂X射线机在胸腰椎脊柱骨折手术中的对比研究
- Author:
Aikeremu DILIMULATI·
1
;
Kuo XU
;
Hao WANG
Author Information
1. 新疆维吾尔自治区人民医院骨科中心脊柱二科,乌鲁木齐 838000
- Keywords:
Thoracic vertebrae;
Lumbar vertebrae;
Fractures, bone;
Mobile C arm X ray machine
- From:
International Journal of Surgery
2022;49(7):448-452
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of mobile C-arm X-ray system in the surgical treatment of thoracolumbar spine fractures.Methods:The clinical data of 120 patients with thoracolumbar spine fractures admitted to People′s Hospital of Xinjiang Uygur Autonomous Region from July 2018 to July 2020 were retrospectively analyzed. According to different surgical methods, they were divided into control group and experimental group, with 60 cases in each group. The control group adopted the traditional posterior median approach lumbar fusion, and the experimental group adopted the percutaneous pedicle screw internal fixation guided by the C-arm system. The operation time, bleeding, operation cost, visual analog score (VAS) and activities of daily living (ADL) and complication rate were compared and analyzed between the two groups. Measurement data with normally distribution were expressed as mean±standard deviation( ± s), and the comparison between groups was performed by two independent samples t test. The comparison between groups of count data was performed by chi-square test. Results:The operation time, the blood loss, the cost, VAS, ADL score, the complication rate of the control group were (119.83 ± 10.96) min, (90.56±30.52) mL, (4.90±0.75) ten thousand yuan, (4.17±0.64) scores, (78.11±12.78) scores and 30%, while the experimental group were (103.50±13.76) min, (73.88±40.35) mL, (4.06 ± 0.97) ten thousand yuan, (2.40±0.49) scores, (86.00±8.86) scores and 5%, respectively, showing a significant difference between the two groups ( P<0.05). Conclusions:Application of mobile C-arm X-ray system in thoracolumbar spine minimally invasive surgery can reduce the probability of complications, improve the quality of life of patients, and accelerate the rehabilitation. It is valuable for popularization.