Comparison of clinical results between acrossing the injured vertebra precutaneous and traditional open fixation for Magerl A thoracolumbar fractures / 实用医学杂志
The Journal of Practical Medicine
;
(24): 1281-1285, 2017.
Article
in Chinese
| WPRIM
| ID: wpr-619151
ABSTRACT
Objective To compare the efficacy of acrossing the injured vertebra percutaneous pedicle screw fixation and traditional open surgery for Magerl A thoracolumbar fractures.Methods Retrospective analysis 56 patients with single segmental Magerl A thoracolumbar fractures without neurological symptoms were stabilized,including percutaneous fixation in 26 cases and open fixation in 30 cases.The operation time,intraoperative,blood loss,incision length,sagittal Cobb angle,height of injured vertebral,VAS,ODI,were compared between 2 groups.Results The precutaneous group less surgical blood loss,incision length and postoperative go to the fields time than the open group (P < 0.05).There were improvements in Cobb angle and anterior height in two groups (P < 0.05).The precutaneous group had lower VAS and ODI scores postoperation (P < 0.05).The fracture vertebral front height and Cobb angle had significantly loss at final follow up than on the third day postoperation (P < 0.05).Conclusions The percutaneous pedicle screw fixation can achieve similar effect in the treatment of Magerl A thoracolumbar fractures without neurological symptoms than open surgery,with less iatrogenic injury,less intraoperative blood loss and quick recovery for patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
Chinese
Journal:
The Journal of Practical Medicine
Year:
2017
Type:
Article
Similar
MEDLINE
...
LILACS
LIS