983 Cases Treatment of Thoracolumbar Compression Fractures with Traction Combined with Inflatable Elastic Spinal Traction Device
Objective:To evaluate the clinical efficacy of pelvic traction combined with inflatable elastic spinal traction device for external fixation in the treatment of thoracolumbar compression fractures.Methods:To evaluate the clinical effi-cacy of pelvic traction combined with inflatable elastic spinal traction device for external fixation in the treatment of thora-columbar compression fractures.From January 2017 to May 2022,983 patients with thoracolumbar compression fractures were collected,including 753 males and 230 females,aged 27 to 72 years old,with a median age of 62 years old.All of them were single thoracolumbar fractures.The thoracolumbar injury classification and severity(TLICS)scores were less than 4,and conservative management was adopted.The hospitalization time is 3 weeks,and the treatment plan is to lie on a flat bed after admission,place an airbag support plate on the fracture segment,and provide pelvic traction.The traction weight is 10-15 kg,and the traction time is 40-60 min/times.The traction interval is 1 h,and the traction times is 5-6 times/d.After 3 weeks,wear an inflatable elastic spinal traction device for external fixation and waking up for a total of 90 d.Record the visual analogue scale(VAS)score and Oswestry disability index(ODI)of pain and pain before treatment,3 weeks of treatment,3 months of treatment,and the last fol-low-up to evaluate clinical efficacy.Measure,the height of the anterior edge of the fractured vertebral body and the Cobb angle of the fractured vertebral body segment to evaluate the reduction effect and maintenance of the fracture.Results:983 patients were followed up for more than 12 months and treated for 3 weeks.At 3 weeks,3 months and the last follow-up,the VAS score of low back pain significantly decreased compared to before treatment,with a statistically significant differ-ence(P＜0.05).The ODI score at 3 weeks,3 months,and the last follow-up showed significant improvement compared to before treatment,with a statistically significant difference(P＜0.05).The reduction rate of the anterior edge height of the fractured vertebral body and the Cobb angle of the fractured vertebral body were significantly improved in the last follow-up compared to before treatment,and the difference was statistically significant(P＜0.05).At the last follow-up,accord-ing to the diagnostic efficacy criteria of traditional Chinese medicine for thoracolumbar fractures,the treatment plan was classified as excellent,good,and poor.The excellent and good rate of this treatment plan was 95.52％.Conclusion:The conservative management scheme of traction combined with inflatable elastic spinal retractor for the treatment of thoraco-lumbar compression fractures has significant clinical effect,simple operation,easy implementation,and has popularization significance.
万方数据
维普
