Fenestrating decompression combining screw restoration and internal fixation in treatment of thoracolumbar burst fracture

Abstract

Objective To study the clinical effect of fenestrating decompression combining screw restoration and internal fixation in the treatment of thoracolumbar burst fracture. Methods From Jan. 2013 to Jan. 2016, 65 patients with thoracolumbar burst fracture treated at our hospital were taken as clinical research objects and all the patients were treated with fenestrating decompression combining screw restoration and internal fixation. The vertebral height, posterior process angle (Cobb’s angle), Oswestry dysfunction index, nerve function changes, fracture healing, and complications before and after the treatment were observed. Results 1 week after the operation, the vertebral height increased from (55.18±3.47)% before the operation to (92.47±3.96)%, with a statistical difference (P 0.05). 12 months after the operation, Frankel A, B, and C levels were significantly reduced, but D and E levels increased significantly (P<0.05). All the patients got bone union. There were no complications such as rupturing or loosening of internal fixation. Conclusions Fenestrating decompression combined with screw restoration and internal fixation has good fracture healing effect in the treatment of thoracolumbar burst fracture, can effectively restore the height of vertebral body, correct the kyphosis, and promote the recovery of nerve function. Because of its fewer complications and higher safety, it is worth being generalized. Key words: Fenestrating decompression; Screw reset; Internal fixation; Thoracolumbar burst fracture; Effect