Curative effect of anterolateral spinal canal decompression combined with short segment screw fixation with posterior approach for severe thoracolumbar burst fractures with spinal cord injury.
10.12200/j.issn.1003-0034.2020.12.009
- Author:
Jie GAO
1
;
De-Zhou ZHU
1
;
Hao WANG
1
;
Lian-Hua LI
1
;
Zhi LIU
1
;
Tian-Sheng SUN
1
Author Information
1. Department of Orthopaedics, the Seventh Medical Center of PLA General Hospital, Beijing 100700, China.
- Publication Type:Journal Article
- Keywords:
Fractures;
Lumbar vertebrae;
Spinal cord injuries;
Thoracic vertebrae
- MeSH:
Adult;
Bone Screws;
Decompression;
Female;
Fracture Fixation, Internal;
Humans;
Lumbar Vertebrae/surgery*;
Male;
Middle Aged;
Retrospective Studies;
Spinal Canal;
Spinal Cord Injuries/surgery*;
Spinal Fractures/surgery*;
Thoracic Vertebrae/surgery*;
Treatment Outcome;
Young Adult
- From:
China Journal of Orthopaedics and Traumatology
2020;33(12):1128-1133
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the effect of anterolateral spinal canal decompression combined with short segment screw fixation with posterior approach for severe thoracolumbar burst fractures with spinal cord injury.
METHODS:From January 2016 to June 2018, 16 patients with severe thoracolumbar burst fractures (more than 50% of ratio of spinal canal encroachment, reverse fragment at the posterior edge of the vertebral body) with spinal cord injury were retrospectively analyzed, including 10 males and 6 females, ranging in age from 19 to 57 years old. Causes of injury:8 cases of fall injury, 6 cases of traffic accident injury and 2 cases of other injuries. Fracture site:T
RESULTS:All 16 patients were followed up, and the average follow up time was (15.9±5.4) months. The average operation time was (234±41) minutes and the average amount of bleeding was (431±93) ml. The loss of anterior height of injured vertebrae was (52.25±10.10)% before operation, (8.93± 3.61)% at 3 days after operation, and (9.25±2.88)% at the latest follow up. The results of 3 days after operation and the latest follow up were better than that before operation, and there was no significant differencesbetween results at the latest follow up and 3 days after operation (
CONCLUSION:For severe thoracolumbar burst fracture and spinal cord injury, with more than 50% of ratio of spinal canal encroachment and reverse fragment at the posterior edge of the vertebral body, the anterolateral spinal canal decompression combined with short segment screw fixation with posterior approach has the characteristics of accurate reduction, complete decompression and firm fixation, and the clinical effect is satisfactory.
