Effect of Sextant Minimally Invasive Percutaneous Pedicle Screw Fixation on Spinal Fracture and Its Influence on Clinical Indexes and Spinal Func-tion
Objective To investigate the effect of Sextant minimally invasive percutaneous pedicle screw fixation on spinal fracture and its effect on clinical indexes and spinal function.Methods A total of 82 patients with thoracolum-bar spine fracture admitted to the First Clinical Medical School of Jinzhou Medical University from June 2022 to June 2023 were selected as the study objects and were divided into two groups with 41 cases each by double-blind method.Open pedicle screw internal fixation was used in the open group,and Sextant minimally invasive percutaneous pedicle screw internal fixation was used in the minimally invasive group.The clinical efficacy of the two groups was compared.Results There was no statistically significant difference in operation time between the two groups(P＞0.05).The amount of blood loss,incision length and hospital stay in the minimally invasive group were better than those in the open group,and the differences were statistically significant(all P＜0.05).After surgery,the sagittal plane index and anterior margin height of vertebrae in the minimally invasive group were significantly higher than those in the open group,and the Cobb's angle was significantly smaller than that in the open group,and the differences were statisti-cally significant(all P＜0.05).After surgery,the scores of spinal dysfunction scores and pain scores in the minimally invasive group were 14.03±3.24 and 2.63±0.87,respectively,lower than 19.43±4.75 and 5.32±1.16 in the open group,and the differences were statistically significant(t=6.014,11.879,both P＜0.05).The incidence of complications in minimally invasive group was lower than that in open group,and the difference was statistically significant(P＜0.05).Conclusion Sextant minimally invasive percutaneous pedicle screw internal fixation is effective and causes little trauma to the patient,which is conducive to the stability of the paravertebral muscle and ligament complex of the pa-tient and the protection of lumbar and back function.At the same time,this operation has few postoperative complica-tions,which can provide favorable conditions for the postoperative spinal function and postoperative recovery of the pa-tient.
SpineFractureMinimally invasive surgeryClinical indexSpinal function
NETL
NSTL
万方数据
