Effects of posterior injured vertebra short-segment pedicle instrumentation on perioperative stress indicators and pain intensity in patients with thoracolumbar vertebral fracture
Objective To explore the effect of posterior injured vertebra short-segment pedicle instrumentation(SSPI)in the treatment of patients with thoracolumbar vertebral fracture(TVF).Methods Fifty-six patients with TVF admitted in our hospital from December 2021 to November 2022 were selected as the study objects and divided into group A(n=28,posterior injured vertebra SSPI treatment)and group B(n=28,cross-injured vertebra SSPI treatment)according to random number table method.The therapeutic effects of the two groups were compared.Results The operation time of the group A was longer than that of the group B,the length of bed rest was shorter than that of the group B,and the postoperative drainage volume and intraoperative blood loss were more than those of the group B(P<0.05).At 3 month after surgery,the anterior vertebral height ratio(AVHR)of the group A was greater than that of the group B,and the Cobb angle was lower than that of the group B(P<0.05).At 1 and 3 month after surgery,Oswestry Disability Index(ODI)and Visual Analogue Scales(VAS)scores in both groups were lower than those before surgery,and those in the group A were lower than the group B(P<0.05).At 1 and 3 d after surgery,the levels of norepin ephrine(NE),creatine kinase(CK)and cortisol(Cor)in both groups were higher than those before surgery,and those in the group A were higher than the group B(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion Compared with cross-injured vertebrae SSPI,posterior injured vertebrae SSPI in the treatment of TVF patients can further reduce pain,improve lumbar function and shorten length of bed rest,but it can slightly increase intraoperative blood loss,postoperative drainage flow and surgical trauma,and prolong the operation time.
万方数据
维普
