Treatment Of Thoracolumbar Vertebrae Fracture With Extrusion Press And External Fixation

Objective:Through drawing and treated with a press of the external fixation method with simple thoracolumbar fractures of the clinical research, objective analysis the clinical curative effect of this method, discusses the characteristics of this method in the clinical application of treatment for clinical selection of appropriate method provide reference for thoracolumbar fractures.Method:Using random parallel control design. Choose between March 2014 to October2014 by the haicheng county bonesetting hospital clinical and radiographic examination diagnosed and treated in the hospital of pure patients with thoracolumbar fractures without neurological symptoms, based on the principle of voluntary informed consent into groups,respectively treated with a pull stretch press method with external fixation group(experimental group, 30 cases), traditional recumbent pad treatment group(the control group,30 cases). Recorded on the same day, two groups of patients with injury 1 day after the treatment, after treatment 2, 3, 4, 6, 8 weeks of VAS score, and to compare two groups of patients after an injury at the end of the first X ray film, treatment of vertebral height and X ray film Cobb Angle change.Result:Experimental injury on VAS score was 8.56± 0.24, 1 day after the treatment, 2, 3,4, 6, 8 weeks VAS score was mm damage with were compared after treatment, P < 0.05, the difference was 8.02±0.23、7.34±0.25、5.43±0.29、4.23±0.24、3.47±0.24、1.58±0.21,statistically significant. The experimental group were injured after the first x ray film,vertebral body height was 51.2 ±17.5(%), Cobb Angle was 32.2±4.7 degrees, after the treatment of x line piece of vertebral body height 95.6±4.5(%) Cobb Angle was 1.4± 0.8degrees, the two comparison, P < 0.05, the difference was statistically significant.Conclusion:Pull out and treated with a press of the external fixation method with simple thoracolumbar fracture curative effect is satisfied, can significantly improve the patients pain after injury, more important is to reduce long-term lie in bed in the treatment of complications,and easy to care, can better restore vertebral body height and more correct Cobb Angle of the protruding after, its standardization and normalization treatment method is more reliable,objective, scientific, worthy of clinical application.