Effect of different Approaches of pedicle Screw internal Fixation on postoperative Waist Pain and Recovery in Patients with traumatic Lumbar Fractures
Objective To analyze the effects of different approaches of pedicle screw internal fixation on postoperative waist pain and recovery in patients with traumatic lumbar fractures.Methods A total of 100 patients with traumatic lumbar fractures admitted to the Second People's Hospital of Xinye County from March 2021 to March 2023 were randomly divided into percutaneous approach group and the paravertebral muscular interspace approach group using a random number table method,with 50 patients in each group.The perioperative related indicators between two groups were compared;The Cobb angle of kyphosis,anterior edge height of the injured vertebra,lumbar spine function,and pain level were measured before and 3 months after surgery;The incidence of postoperative complications were recorded and compared between the two groups.Results The incision length of the percutaneous approach group was shorter than that of the paravertebral muscular interspace approach group,and the intraoperative bleeding was less than that of the paravertebral muscular interspace approach group,the intraoperative surgery time,intraoperative fluoroscopy frequency,and hospitalization time were more than those of the paravertebral muscular interspace approach group,and the difference was statistically significant(P＜0.05);Three months after surgery,the Cobb angle of the posterior convexity and the height of the anterior edge of the injured vertebra in both groups were lower than those before surgery,and the differences were statistically significant(P＜0.05),but there was no statistically significant difference between the two groups(P＞0.05);Three months after surgery,the Oswestry Dysfunction Index(ODI)and Visual Analog Scale(VAS)scores of the two groups of patients were lower than those before surgery,and the difference was statistically significant(P＜0.05),but there was no statistically significant difference between the two groups(P＞0.05);The postoperative complications in the percutaneous approach group were lower than those in the paravertebral muscular interspace approach group,but there was no statistically significant difference between the two groups(P＞0.05).Conclusion Both approaches can effectively treat patients with traumatic lumbar fractures,improving their lower back pain and functional impairment.The percutaneous approach has the advantages of smaller surgical incisions and less intraoperative bleeding,while the paraspinal interspace approach can effectively shorten the patient's hospitalization time.Clinically,appropriate surgical methods can be selected based on the patient's condition.
lumbar vertebral fracturepedicle screw internal fixation surgerytranscutaneous approachapproach through the paravertebral muscular interspacecomplications
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