Comparison efficacy of two methods for treatment of femoral thoracolumbar fractures
Objective To compare the efficacy of open reduction and minimally invasive percutaneous pedicle screw fixation in the treatment of thoracolumbar fracture.Methods The 80 patients with thoracolumbar fractures were di-vided into open group(40 cases were treated with open reduction pedicle screw internal fixation)and percutaneous group(40 cases were adopted with minimally invasive percutaneous pedicle screw internal fixation),according to dif-ferent surgical methods.The surgical status,pain VAS,the anterior margin height ratio and Cobb angle of injured ver-tebra and complications were compared between the two groups.Results All patients were followed up for 12～15 months.Incision length,operation time,intraoperative blood loss,postoperative walking on ground time,hospitalization time:The data of percutaneous group were shorter(less)than those in open group(P＜0.05).There was no statistical difference in the intraoperative fluoroscopy frequency between two groups(P＞0.05).Pain VAS:At1 d,1 week,1 month after operation,percutaneous group was lower than open group(P＜0.05);at 12 months after surgery,there was no statistical difference between the two groups(P＞0.05).The ratio of anterior margin height and Cobb angle of injured vertebrae:At 1 week after surgery,the data of percutaneous group were better than those in open group(P＜0.05),and there were no statistical differences between the two groups at 12 months after surgery(P＞0.05).The in-cidence of postoperative complications in percutaneous group was lower than that in open group(P＜0.05).Conclu-sions In the treatment of thoracolumbar fracture,minimally invasive percutaneous pedicle screw internal fixation is superior to open reduction pedicle screw internal fixation,with small incision,less trauma,light pain,faster recovery,and better clinical effect.
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