Effect of Sextant Minimally Invasive Percutaneous Pedicle Screw Fixation on Patients with Thoracolumbar Multiple Spinal Fractures
Objective:To explore the effect of Sextant minimally invasive percutaneous pedicle screw fixation on patients with thoracolumbar multiple spinal fractures.Method:A total of 96 patients with thoracolumbar multiple spinal fractures admitted to Jiangxi Jiayou Shuguang Orthopedic Hospital from May 2021 to May 2023 were selected and divided into two groups according to random number table method,with 48 cases in each group.The control group underwent open pedicle internal fixation,and the observation group underwent Sextant minimally invasive percutaneous pedicle screw fixation.Perioperative indexes,pain degree,vertebral function,imaging indexes,complications and quality of life between the two groups were compared.Result:There was no significant difference in surgery time between the two groups(P>0.05).The intraoperative blood loss and postoperative drainage volume in the observation group were less than those in the control group,and the incision length and hospital stay were shorter than those in the control group,the differences were statistically significant(P<0.05).Before surgery,there were no significant differences in visual analogue scale(VAS)score,Oswestry disability index(ODI)score,imaging index and generic quality of life inventory 74(GQOLI-74)score between the two groups(P>0.05).Three months after surgery,VAS and ODI scores in observation group were lower than those in control group,and the scores of GQOLI-74 in all dimensions were higher than those in control group,the differences were statistically significant(P<0.05).At 7 d after surgery,the frontal height ratio of injured vertebra and sagittal plane index(SI)of the observation group were higher than those of the control group,and the kyphotic angle(Cobb angle)was smaller than that of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with open surgery,Sextant minimally invasive percutaneous pedicle screw fixation can further reduce the pain degree of patients with thoracolumbar multiple spinal fractures,improve imaging indicators,vertebral function,reduce the occurrence of complications,and improve quality of life.
Thoracolumbar multiple spinal fracturesSextant minimally invasive percutaneous pedicle screw fixationPerioperative indicatorsPain degreeVertebral functionImaging indicatorsComplicationsQuality of life
万方数据
维普
