Application effect of hyperbaric oxygen combined with pedicle screw internal fixation on improving the morphology and function of spinal fractures
Objective To observe the effectiveness of hyperbaric oxygen assisted arch root nail internal fixation in the treatment of spinal fractures and its impact on the morphology and function of the patients'spine.Methods This study is a prospective study,109 patients with spinal fractures admitted between January 2022 and June 2023 was selected as the study subjects.They were randomly divided into a surgical group(54 cases)and a combined group(55 cases)using computer randomization.The surgical group was treated with arch root nail internal fixation,while the combined group was treated with hyperbaric oxygen assisted surgery.The improvement of inflammatory factors,spinal morphology,spinal function,postoperative rehabilitation and incidence of complications between the two groups were compared.Results Under different treatment regimens,the CRP,IL-6,and IL-8 levels in the combined group were(8.6±1.4)mg/L,(5.4±1.4)pg/ml,and(6.6±1.2)pg/ml,which were lower than those in the surgical group[(10.4±2.4)mg/L,(6.3±1.8)pg/ml,and(7.3±1.8)pg/ml].The posterior convex angles of the injured vertebrae in the combined group were(40±5)° and(28±3)° at 2 and 4 weeks after surgery,which were lower than those in the surgical group[(44±5)° and(31±4)°].The Cobb angles were(18.6±4.2)° and(10.3±2.4)°,which were lower than those in the surgical group[(22.4±5.3)° and(12.2±3.2)°].The ODI scores of the combined group at 2 and 4 weeks after surgery were(25±5)and(18±4),which were lower than those in the surgical group[(29±5)and(22±5)],while the JOA scores were(20±4)and(24±5),which were higher than those of the surgical group[(18±3)and(20±5)].The hospitalization time,bed rest time,and fracture healing time of the combined group were(10.2±2.3)days,(45±10)days,and(85±10)days,which were lower than those in the surgical group[(12.4±3.6)days,(50±11)days,and(90±1 1)days.The incidence of postoperative complications in the combined group was 9.1％(5/55),which were lower than that in the surgical group 22.2％(12/54)(P＜0.05).Conclusion The treatment of spinal fractures with high-pressure oxygen assisted arch root nail internal fixation can effectively alleviate the inflammatory response of patients,promote the recovery of spinal morphology and function,accelerate the postoperative rehabilitation process,and reduce the risk of complications.
Spinal fracturesArch root nail internal fixationHigh pressure oxygenSpinal morphologySpinal function
万方数据
维普
