经皮微创椎弓根钉内固定和开放手术内固定治疗胸腰椎骨折的效果比较

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Abstract Objective To compare the clinical effects of application of minimally invasivepercutaneous pedicle screw fixation and open surgery internal fixation in the treatment of thoracolumbar fractures.Methods Altogether 72 cases of thoracolumbar fracture patients who were treated in the hospital from January 2014 to December 2015 were involved as the objects of study and randomly divided into Study Group and Control Group with 36 cases in each group.Patients in Control Group were treated with open surgery internal fixation;while,Study Group underwent minimally invasive percutaneous pedicle screw fixation.SF-36 was used to evaluate the quality of life and comprehensively compare two groups from multiple aspects,including duration of surgery,pre-and post-operation vertebral height,intervertebral height, changes in kyphosis Cobb angle,length of hospitalization,quality of life score and complications.Results Two groups showed no significant difference in duration of surgery in Study Group of(59.26±8.46)min and in Control Group of (60.72±7.30)min(t=0.7840,P>0.05).The length of hospitalization in Study Group[(8.25±1.60)d]was shorter than that of Control Group[(13.28±2.74)d](t=9.5117,P<0.05).Increased vertebral height and intervertebral height as well as reduced kyphosis Cobb angle were seen in both groupspost-operatively in contrast with pre-operation(P<0.05),without significant difference between two groups(P>0.05).Study Group achieved better quality of life scores in all the aspectsthan Control Group(P<0.05).No complications occurred in neither groups post-operatively.Conclusion Both the minimally invasive percutaneous pedicle screw fixation and open surgery internal fixation demonstrate satisfactory effectiveness in treatment of thoracolumbar fractures,among which the minimally invasive percutaneous pedicle screw fixation show its advantages in small trauma and postoperativequick recovery time and high quality of lifefor patients.

Key words： Percutaneous minimally invasive Pedicle screw fixation Open surgery Thoracolumbar fractures

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	Articles by authors
	XIE Yong-yuan
	TANG Hong-hong
	ZHONG Yong-mao
	YUAN-Yue-hua

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XIE Yong-yuan,TANG Hong-hong,ZHONG Yong-mao, et al. Comparison of the effectiveness of application of minimally invasive percutaneous pedicle screw fixation and open surgery internal fixation in treatment of thoracolumbar fractures[J]. 中国当代医药, 2016, 23(18): 54-56.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I18/54

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