Effect of percutaneous minimally invasive pedicle screw internal fixation in the treatment of thoracolumbar vertebral fractures and its impact on quality of life.

Pengfa Tu,Chong-Chao Yan,Shuo Cao,Chenyang Jiang,Jian-Xue Hao

doi:10.12669/pjms.38.1.4329

Abstract

ABSTRACTObjectives:To investigate and analyze the effect of percutaneous minimally invasive pedicle screw internal fixation in the treatment of thoracolumbar vertebral fractures and its impact on quality of life.Methods:Fifty patients with thoracolumbar vertebral fracture admitted to our hospital from January 2015 to December 2018 were selected and divided into two groups according to different treatment regimens. The observation group was treated with minimally invasive percutaneous pedicle screw internal fixation, while the control group was treated with traditional posterior approach open pedicle screw internal fixation. The surgery time, incision length, intraoperative blood loss, postoperative drainage, hospitalization time, ambulation time, fracture healing time and postoperative VAS scores were compared between the two groups. In addition, the cobb angle, the sagittal plane index, and the anterior vertebral height were compared between the two groups before and after surgery, as were the Oswestry Disability Index (ODI) at 1d, 3 months, and 6 months postoperatively.Results:The surgery time, incision length, postoperative pain level, postoperative drainage and intraoperative blood loss of the observation group were less than those of the control group (P<0.05). The postoperative Cobb angle of the two groups decreased, the sagittal plane index as well as the anterior vertebral height increased (P<0.05). The Oswestry index of the observation group was better than that of the control group at one day and three months postoperatively, with a statistical significance between the two groups (P<0.05). The complication rate of the observation group was significantly lower than that of the control group (P<0.05).Conclusion:Percutaneous minimally invasive pedicle screw internal fixation is safer than the traditional open pedicle screw internal fixation, and it is more worthy of clinical promotion.

Highlights

Vertebral fracture, as a common disease in the orthopedic clinic, is mainly characterized by thoracolumbar spine (T11 - L2) fractures.[1]
A total of 50 patients with thoracolumbar vertebral fracture admitted to our hospital from January 2015 to December 2018 were selected and divided into two groups according to different treatment regimens: the observation group (n=25) and the control group (n=25)
The results of this study indicate that the minimally invasive percutaneous pedicle screw fixation requires shorter surgical duration, shorter incision length, shorter hospital stay, and shorter fracture line healing time than the traditional open-cut pedicle screw fixation

Summary

Introduction

As a common disease in the orthopedic clinic, is mainly characterized by thoracolumbar spine (T11 - L2) fractures.[1]. Pak J Med Sci January - February 2022 Vol 38 No 1 www.pjms.org.pk 100 spine fractures. With this therapy scheme, the nailrod system is used to restore and fix the fracture site, so that the vertebral body returns to the normal sequence relationship and height level, which is conducive to improving vertebral stability and relieving nerve compression.[3,4]. With the development of orthopedic internal fixation instruments and medical imaging, as well as the improvement of surgical strategy, percutaneous minimally invasive pedicle screw internal fixation has achieved significant curative effect in the treatment of thoracolumbar spine fractures, which can significantly reduce the pain of patients, shorten the hospitalization time, reduce intraoperative bleeding, and improve the quality of life of patients.[6]

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