Clinical Effect of Sextant Minimally Invasive Percutaneous Pedicle Screws Osteosynthesis in the Treatment of Multiple Thoracolumbar Spinal Fractures
Objective:To explore the clinical effect of Sextant minimally invasive percutaneous pedicle screws osteosynthesis(MIPPSO)in the treatment of multiple thoracolumbar spinal fractures.Method:A total of 60 patients with multiple thoracolumbar spinal fractures who were admitted in Juye County People's Hospital from August 2017 to January 2022 were selected and divided into the study group(30 cases)and the control group(30 cases)by random number table method.The control group was treated with traditional posterior open internal fixation,and the study group was treated with Sextant MIPPSO.The perioperative indicators,vertebral body morphology,spinal function and complications in both groups were compared.Result:In comparision of the control group,intraoperative bleeding volume and postoperative drainage volume in the study group were less(P<0.05),and the incision length and hospital stay were shorter(P<0.05).After operation,the height ratio of the anterior edge of the vertebral body and the index of the sagittal plane of the vertebral body in both groups were increased compared to those before operation(P<0.05),the Cobb's angle were decreased(P<0.05),and in comparision of the control group,the height ratio of the anterior edge of the vertebral body and the index of the sagittal plane of the vertebral body in the study group were higher(P<0.05),and the Cobb's angle was lower(P<0.05).After operation,the Oswestry disability index(ODI)in both groups were increased compared to those before operation(P<0.05),that in the study group was lower than that in the control group(P<0.05).The incidence of complications in the study group(3.33%)was lower than that in the control group(26.67%)(P<0.05).Conclusion:Sextant MIPPSO can improve perioperative indicators,promote the recovery of spinal morphology and function,and reduce the incidence of complications in patients with multiple thoracolumbar spinal fractures.
万方数据
维普
