Effect of decompression internal fixation with different approaches on treating thoracolumbar burst fracture patients complicated with spinal cord injury
10.7619/jcmp.201717024
- VernacularTitle:不同入路方式减压内固定术治疗合并脊髓受损的胸腰椎爆裂性骨折患者的疗效研究
- Author:
Guangyu WEN
1
;
Yi YANG
;
Zunhong LIANG
;
Hai ZHAO
Author Information
1. 海南医学院附属第二医院骨一科
- Keywords:
anterior approach decompression;
posterior approach decompression;
internal fixation;
spinal cord injury;
thoracolumbar burst fracture
- From:
Journal of Clinical Medicine in Practice
2017;21(17):82-85
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effect of decompression internal fixation with different approaches on treating thoracolumbar burst fracture patients complicated with spinal cord injury.Methods A total of 78 thoracolumbar burst fracture patients with spinal cord injury were selected.According to the different approaches,they were divided into group A (anterior approach decompression,n =40) and group B (posterior approach decompression,n =38).The general information,the basic operation situation,the Cobb angle,vertebral height and Frankel grade before and after operation were compared between two groups.Results The bone graft fusion time in group A was significantly less than that in group B (P ＜ 0.05),and the operation time,the hospitalization time and the intra-operative blood loss showed no significant differences between two groups (P ＞ 0.05).The Cobb angle,vertebral height and Frankel grade after operation were better than those before operation in both groups (P ＜ 0.05),but the Cobb angle,vertebral height and Frankel grade at the same time showed no significant differences between two groups (P ＞ 0.05).Conclusion The decompression internal fixation with anterior,posterior approaches can effectively treat thoracolumbar burst fracture patients complicated with spinal cord injury,but for anterior approach,the bone graft fusion time is shorter and the Cobb angle loss is less.
