Clinical Outcome of Short-Segment Transpedicle Treatment of Thoracolumbar Burst Fracture Without Fusion
|School||Guangxi Medical University|
|Keywords||Burst fracture Short segment fixation Non-fusion|
Objective: To investigate and fusion the short segments reset fixed thoracolumbar burst fracture efficacy . Methods: from January 2007 to June 2010 , fixed short segment pedicle bone graft fusion for the treatment of 52 patients with thoracolumbar burst fracture patients were retrospectively analyzed , followed up for 6 to 35 months (mean 19 months ) were measured before surgery , after 3 days and follow-up X- ray photography Cobb angle and the leading edge of the fractured vertebral body height percentage , recording the follow-up, low back pain , return to work and internal fixation . Results : Postoperative vertebral height and Cobb angle compared with the preoperative obvious correction , last follow-up correction of vertebral height the average loss of about 4 % , the average loss of about 4 ° correction angle ; follow-up, 6 patients pedicle screw breakage Denis pain scale assessment ; final follow-up of low back pain : the P1 41 cases , P2 9 cases , P3 2 cases, return to work by Denis scale assessment : W1 35 cases , the W2 15 cases , W3 2 cases . Conclusion: interbody fusion pedicle short segment reduction and internal fixation of thoracolumbar burst fractures can be satisfied with the efficacy .