ABSTRACT
Objective To discuss the short-term effect of Sextant system fixation for thoracolumbar fractures without neurological deficit in the field comprehensive operation rescue shelter.Methods There were 32 patients with thoracolumbar fractures without neurological deficit which rescued by our hospital.Those patients included 18 males and 14 females, with average age of (25.54±2.86) years old.All patients were undergoing internal fixation with Sextant system in the field comprehensive operation rescue shelter.Clinical and surgical evaluation including surgery time,intraoperative blood loss,postoperative ambulation time and wound healing time were observed.Functional outcomes of pre-operation and postoperation 3-days were evaluated by visual analog scale(VAS) and Oswestry disability index(ODI).Cobb angle and front height of fracture vertebral body were compared between pre-operation and postoperation 3-days.Results The operation time was (96.55±14.15)minutes, intraoperative blood loss was (45.25±3.55)mL, postoperative ambulation time was (1.20±0.61)days.There were statistical differences in terms of Cobb angle,front height of fracture vertebral body,VAS and ODI between pre-operation and postoperation 3 days.Conclusion The Sextant system fixation in the field comprehensive operation rescue shelter is a timely,safe and effective method for thoracolumbar fractures without neurological deficit,which is deserved to utilize at the scene when war or disaster urgency treatment.
ABSTRACT
Objective To discuss the recent clinical efficacy of percataneous pedicle screw internal fixation for thoracolumbar fractures without neurological deficit in the new field comprehensive operation rescue shelter at the war or disaster treatment place.Methods Retrospectively analyzed the clinical data of 29 patients with thoracolumbar fractures who were rescued by our hospital.Those patients included 18 males and 11 females,with the average age of (31.54±2.86) years old.All these patients underwent percutaneous pedicle screw internal fixation in the new field comprehensive operation rescue shelter.Clinical and surgical evaluation including surgery time,blood loses,exercise time after operation and complications.Functional outcomes of pre-operation and post-operation were evaluated by visual analog scale (VAS) and Oswestry disability index (ODI).Cobb's angle and fracture vertebral body front height were compared before and after operation as well.Results All these patients were all successfully completed operation in the field comprehensive operation rescue shelter,and the general post-operation condition was well.The operation time was (86.55±16.15)min,the blood loss was (42.35±6.55)mL,the exercise time after operation was (1.20±0.61) days.There was no complications after operation, and pain of thoracolumbar after operation was obviously alleviated.There was statistical differences in terms of Cobb's angle,fracture vertebral body front height,VAS score and ODI score between pre-operation and post-operation (P<0.05).Conclusion The percataneous pedicle screw internal fixation in the new field comprehensive operation rescue shelter is a quite effective method for thoracolumbar fractures without neurological deficit, and this method is worthy of promoting at the scene when war or disaster urgency treatment.
ABSTRACT
Objective To analyze the short-term clinical efficacy of percutaneous kyphoplasy in treating aged patients with osteoporotic vertebral compression fractures in a field comprehensive operation rescue shelter at the disaster site.Methods The clinical data of 43 aged patients with osteoporotic vertebral compression fractures (51 diseased vertebrae in total),who received treatment during the period from April 2013 to August 2016 in a field comprehensive operation rescue shelter at the disaster site,were retrospectively analyzed.After injury,the patients were immediately sent to the field comprehensive operation rescue shelter,which was developed by authors' institute,to receive percutaneous kyphoplasy.The average operation time,preoperative and postoperative pain visual analogue scale (VAS) scores,the manifestations of Cobb'angle of the corresponding segment that was determined on lateral radiography,and the changes in anterior,middle and posterior height of the vertebrae were documented.Results The average operation time was (52.34±14.76) min.The postoperative VAS scores were significantly decreased when compared to the preoperative ones (P＜0.01).After percutaneous kyphoplasy,the Cobb'angle of the coresponding segment of injured vertebrae was obviously improved (P＜0.01),moreover,the anterior,middle and posterior height of the injured vertebrae was remarkably restored (P＜0.01).Conclusion In treating osteoporotic vertebral compression fractures in aged patients,percutaneous kyphoplasy,that is used as an emergency treatment and is carried out in a field comprehensive operation rescue shelter,is quite effective.This treatment can reliably relieve the severe pain caused by compression fracture and improve the prognosis as well.