Postural reduction combined with posterior screw-rod system and percutaneous kyphoplasty in treatment of osteoporotic thoracolumbar burst fractures
10.3760/cma.j.issn.1001-8050.2017.03.009
- VernacularTitle:体位复位结合钉棒系统及经皮椎体后凸成形术治疗骨质疏松性胸腰段爆裂骨折
- Author:
Guoqing LI
;
Weihu MA
;
Shaohua SUN
;
Liansong LU
;
Chaoyue RUAN
;
Huaguo ZHAO
;
Yang WANG
- Keywords:
Spinal fractures;
Thoracic vertebrae;
Lumbar vertebrae;
Osteoporosis
- From:
Chinese Journal of Trauma
2017;33(3):230-234
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effect of postural reduction combined with miniincision screw-rod system and percutaneous kyphoplasty (PKP) in treating osteoporotic thoracolumbar burst fractures.Methods A retrospective case series study was performed for data of 35 patients with osteoporotic thoracolumbar burst fractures without neurological deficits undergone mini-incision screw-rod system fixation and PKP between January 2012 and January 2014.There were 14 males and 21 females,with a mean age of 63.2 years (range,50-72 years).Operation time,intraoperative blood loss,complications,visual analogue score (VAS),height of fractured vertebrae and kyphosis Cobb angle were recorded.Results Operation time was (49.6 ± 6.8) min,and intraoperative blood loss was (45.6 ±7.8)ml.All patients were followed up for 9-18 months (mean,13.5 months).No intraoperative or postoperative serious complications occurred,including intracanal cement leakage,breakage or loosening of the screws.VAS of back pain was decreased from (8.4 ± 1.1)points preoperatively to (3.5 ± 0.6)points postoperatively (P ＜ 0.05).Height of the fractured vertebrae was improved from (49.62％ ± 5.68)％ preoperatively to (86.64 ± 6.63) ％ postoperatively (P ＜ 0.05).Kyphosis Cobb angle was improved from (28.12 ± 1.06) °preoperatively to (5.15 ± 1.08) °postoperatively (P ＜0.05).At the final follow-up,VAS was further decrease and vertebral height and Cobb’ s showed a slight loss of correction.Conclusion Postural reduction combined with mini-incision screw-rod system and PKP can relieve back pain,restore the height of injured vertebrae,correct kyphotic deformity and reduce operation time and blood loss,indicating a minimally invasive,safe and effective procedure for treatment of osteoporotic thoracolumbar burst fractures.
