Application Effect of Posterior Surgical Internal Fixation and Fusion Surgery in Patients with Spinal Fractures
Objective:To explore the application effect of posterior surgical internal fixation and fusion surgery in patients with spinal fractures.Method:A total of 86 patients with spinal fractures who admitted to Baiyun Hospital Affiliated to Guizhou Medical University from January 2022 to January 2023 were selected as the research objects,the patients were divided into the control group and the observation group according to the random number table method,with 43 cases in each group.The control group was treated with percutaneous vertebro plasty(PVP),and the observation group was treated with posterior surgical internal fixation and fusion surgery.The surgical conditions,vertebral recovery,spinal function,pain scores,trauma stress indicators and postoperative complications between two groups were compared.Result:The surgical time,incision length and hospital stay in the observation group were shorter than those in the control group,the intraoperative bleeding was less than that in the control group,and the differences were statistically significant(P<0.05);the percentage of anterior vertebral height and posterior vertebral height in the observation group at 3 months after operation were higher than those in the control group,and the Cobb angle was smaller than that in the control group,the differences were statistically significant(P<0.05);the Oswestry dysfunction index(ODI)score and visual analogue scale(VAS)score of the observation group at 3 months after operation were lower than those of the control group,and the differences were statistically significant(P<0.05);the levels of cortisol(Cor),adrenocorticotropic hormone(ACTH)and tumor necrosis factor-α(TNF-α)in the observation group at 7 d after operation were lower than those in the control group,and the incidence of postoperative complications was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Posterior surgical internal fixation and fusion surgery is more effective in spinal fractures,reducing surgical trauma,reducing stress response,accelerating spinal function recovery,and reducing the risk of complications.
Spinal fracturesPosterior surgical internal fixation and fusion surgerySpinal functionPostoperative complicationsPain
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