Clinical application value of posterior percutaneous minimally invasive pedicle screw fixation and traditional open surgery in patients with spinal fractures
Objective To analyze the application value of posterior percutaneous minimally invasive pedicle screw fixation in patients with spinal fractures.Methods A total of 72 patients with spinal fractures admitted from June 2020 to December 2022 were selected as the research objects.According to the difference of treatment plan,the patients were divided into control group(36 cases,traditional open surgery)and study group(36 cases,posterior percutaneous minimally invasive pedicle screw fixation).The therapeutic effects of the two groups were compared.Results The incision length,operation time and hospitalization time of the study group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the pain score at 7 d after operation was lower than that of the control group(P＜0.05).At 1 week after operation,the sagittal index of the injured vertebra and the height of the anterior edge of the injured vertebra in the study group were higher than those in the control group,and the kyphosis angle was smaller than that in the control group(P＜0.05).At 1 week after operation,the levels of matrix metalloproteinase-9,glial fibrillary acidic protein,neurofilament light chain and heat shock protein 70 in the study group were lower than those in the control group,and the differences were statistically significant(P＜0.05).The total incidence of postoperative complications in the study group was lower than that in the control group(P＜0.05).Conclusion Posterior percutaneous minimally invasive pedicle screw fixation in the treatment of spinal fractures can reduce the damage to spinal nerve function,promote the recovery of spinal function,and has fewer complications,which is conducive to improving the prognosis of patients and has higher application value.
spinal fractureposterior percutaneous minimally invasive pedicle screw fixationtraditional open surgery
万方数据
维普
