Study The Treatment Of Thoracic And Lumbar Fracture Under The Guidance Of TLICS Score

PurposeObserve TLICS score under the guidance of the treatment of thoracolumbar fractures of the clinical curative effect. Thoracolumbar fractures the parting and its treatment options have close relations, the traditional classification method was too trival, did not take into account the neural function of patients. TLICS scoring system will be the first time the patients with spinal neurological condition and imaging examination (fracture morphology, rear ligament complex structure) integrity into marking, sectional score, with a final assessment of the damage degree of thoracic and lumbar vertebrae, and put forward the treatment, has a very high repeatability and credibility. This article through the97cases of thoracolumbar fractures cases in TLICS scoring system before and after treatment under the guidance of the observation for treatment and the clinical curative effect were retrospectively analyzed, clarify operation treatment, the conservative treatment of indications that TLICS rating system of thoracolumbar fractures in the treatment of advantage. MethodsThe patients were all derived from the xiangyang traditional Chinese medicine hospital in March2010to January2012the admission of thoracolumbar fractures patients, for a total of97patients, according to the spinal neurological status, imaging examination (X-ray, CT and MRI), use TLICS rating scoring system, determine treatment. Conservative treatment of24patients, surgical treatment of73patients (63patients with posterior, the road ahead10cases), patients were followed up6to18months, the average8months. Observed before and after treatment and review the imaging results when (the vertebral height, cobb Angle before), ASIA spinal neurological score.ResultsThrough analysis and observation of the follow-up cases, all of the patients were obtained for, after treatment, the presence of cervical wound before height, cobb Angle is before treatment recovered satisfactorily, spinal cord nerve function are different of improved. After3months,8months after compared with the immediate no significant difference:physiological curvature corrective degree have no obvious lost, found no false joint form, inner fixed loose, etc.ConclusionTLICS score under the guidance of the treatment of thoracolumbar fractures, treatment, choose the correct, clinical curative effect is satisfied, and conservative treatment of TCM clear indications, to avoid the surgery or delay the utterance operation time, Denis, AO than traditional classification and simple, reasonable, cheap memory, more have clinical practical value.