| Objective: To compare the curative effect of injuried vertebra transpedicular fixationtechnique and cross segment pedicle fixation technique in the treatment of thoracolumbarfractures. Methods: From January2007to December2011,66patients with thoraco-lumbar fractures were selected and analyzed Retrospectively.36male and30female. Theaverage age was36years (range,20～50years). The follow-up time was1year every one.27patients were in group1with cross segment pedicle fixation technique.39patientswere in groups2with injuried vertebra transpedicular fixation technique. The percenthight of the anterior vertebral and the rear vertebral, and the Cobb’s angle were measuredbefore the operation and after the operation and at the last time of the follow-up time.Results: The percent hight of the anterior vertebral of the group1is (73.81±3.90)%before the operation,(93.96±2.70)%after the operation,(90.56±2.83)%at the last timeof the follow-up time. The percent hight of the rear vertebral is (94.78±3.15)%before theoperation,(96.59±3.13)%after the operation,(95.48±3.22)%at the last time of thefollow-up time. The Cobb’s angle is (23.41±3.49)°before the operation,(5.41±2.36)°after the operation,(8.56±2.47)°at the last time of the follow-up time. The percenthight of the anterior vertebral of the group2is (73.28±4.51)%before the operation,(97.64±1.44)%after the operation,(97.59±1.46)%at the last time of the follow-up time.The percent hight of the rear vertebral is (94.95±2.30)%before the operation,(98.00±1.34)%after the operation,(97.92±1.35)%at the last time of the follow-up time. The Cobb’s angle is (23.90±3.93)°before the operation,(1.90±1.14)°after the operation,(1.97±1.20)°at the last time of the follow-up time. Conclusion: Two groups of treatmentof thoracolumbar fractures are valid,the injuried vertebra transpedicular fixation techniquewas better and more lasting curative effect. |
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