Clinical efficacy and prognostic analysis of posterior fixation and fusion in the treatment of thoracolumbar spinal fractures
Objective To evaluate the clinical efficacy of posterior fixation and fusion in the treatment of patients with thoracolumbar spinal fractures.Methods 84 patients with thoracolumbar spinal fractures were randomly divided into a control group and an experimental group,with 42 cases in each group.The control group was treated with anterior fixation and fusion,and the experimental group was treated with posterior fixation and fusion.Patients in both groups were compared in terms of clinical effects,surgical indicators(incision length,operation time,intraoperative blood loss,length of hospital stay),complications(low back pain,nerve damage,spinal instability),and prognostic indicators(vertebral canal occupying ratio,kyphotic Cobb angle,posterior vertebral body height ratio,anterior vertebral body height ratio).Results The total clinical effective rate of the experimental group was 97.62%,which was higher than the control group's 80.95%(P<0.05).The experimental group had smaller incision length of(118.33±14.30)mm than(232.85±23.15)mm in the control group;the experimental group had operation time of(184.33±2.36)min and length of hospital stay of(9.55±1.11)d,which were shorter than(272.42±4.36)min and(18.18±2.80)d in the control group;the experimental group had less intraoperative blood loss of(534.70±2.84)ml than(786.50±10.35)m in the control group(P<0.05).The complication rate of the experimental group was 2.38%,which was lower than the control group's 21.43%(P<0.05).After treatment,the vertebral canal occupying ratio of the experimental group was(10.18±1.45)%,the kyphotic Cobb angle was(6.20±1.45)°,the posterior vertebral body height ratio(90.52±5.42)%,and the anterior vertebral body height ratio was(85.86±13.26)%,which were better than(12.15±1.68)%,(12.15±2.45)°,(75.15±5.65)%,and(72.60±16.15)%in the control group(P<0.05).Conclusion Posterior fixation and fusion for patients with thoracolumbar spinal fractures has outstanding results,and can optimize surgical indicators,reduce complications,improve prognosis,and is of great significance to the rehabilitation of patients,so it is recommended to be popularized.
Thoracolumbar spinal fracturesPosterior fixation and fusionPrognosisEfficacy
万方数据
维普
