Comparative analysis of different fusion in the treatment of thoracolumbar burst fracture
Objective To compare the clinical efficacy between posterolateral fusion(PLF) and transforaminal interbody fusion(TLIF) in treating thoracolumbar burst fracture. Methods 76 cases thoracolumbar burst fractures patients into our hospital from September 2009 to September 2013 were divided into TLIF group(40 cases, transforaminal interbody fusion) and PLF group(36 cases, posterolateral fusion), the clinical efficacy of two groups were compared. Results There was no significant diference in operation time and blood loss of two groups(P >0.05); The success rate of fusion of TLIF group was higher than that of PLF group(P <0.05); There were significant differences in vertebral compression ratio and Cobb angle between two groups postoperative 1 months, 12 months(P <0.05). Conclusion Transforaminal interbody fusion has a good effect on treating thoracolumbar burst fracture, which is better than posterolateral fusion, and it is worthy of clinical widely.