Application of Long-Arm Single-Axis Pedicle Screw Internal Fixation Surgery by Percutaneous Approach in Patients with Traumatic Thoracolumbar Fracture
Objective:To investigate the value of long-arm single-axis pedicle screw internal fixation surgery by percutaneous approach in patients with traumatic thoracolumbar fracture.Methods:A total of 94 patients with traumatic thoracolumbar fractur admitted to the Shandong First Rehabilitation Hospital from January 2021 to December 2023 were selected as the study objects.They were divided into a control group and a study group by random number table method,with 47 cases in each group.The control group underwent conventional internal fixation surgery,the study group underwent long-arm single-axis pedicle screw internal fixation surgery by percutaneous approach.The general conditions,postoperative recovery,complications,pain and reduction of injured vertebrae were compared between the two groups.Results:The operation time and hospitalization time of the study group were shorter than that of the control group,the intraoperative blood loss was lower than that of the control group,with statistical significance(P<0.05).One week after surgery,the pain degree score of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).One month after surgery,the Cobb angle and dysfunction of the study group were better than those of the control group,the height of the anterior vertebra and posterior edge of the injured vertebra were higher than those of the control group,with statistical significance(P<0.05).The incidence of complications in the study group was 8.51%,compared with 2.13%in the control group,with no statistical significance(P>0.05).Conclusion:The use of percutaneous pedicle screw insertion in patients with traumatic thoracolumbar fracture is helpful to shorten the operation time and hospital stay,reduce the amount of intraoperative blood loss,effectively reduce the degree of pain,improve the reduction of the injured vertebra,and facilitate postoperative recovery.
万方数据
维普
