Percutaneous Pedicle Screw Fixation And Open Reduction And Internal Fixation For The Treatment Of Thoracolumbar Burst Fractures Comparison And Clinical Observation

Objective: To compare percutaneous implant fixation and open reduction and internal fixation for thoracolumbar burst fracture clinical curative effect.Methods: retrospective analysis from October to 2014 since 2012 March in Shandong Provincial Traditional Chinese Medical Hospital spinal Department of orthopedics hospital treatment of 25 patients with thoracolumbar burst fracture patients, of which 11 cases were treated with percutaneous implanted screw fixation and open reduction and internal fixation, 14 cases were treated by posterior open reduction and internal fixation. The clinical 25 patients with thoracolumbar burst into experimental group and control group in which the graft fracture, percutaneous screw fixation were selected as experimental group,open reduction and internal fixation were as control group, to observe the destruction of clearance three patients before surgical vertebral column, change before and after the operation of vertebral height restoration, kyphotic Cobb angle and intervertebral gap height,and time, hospitalized patients with operation time, blood loss during the operation situation, comparison of VAS score difference before and after surgery, to summarize the advantages and disadvantages of the two kinds of operations. Results: the selected patients were followed up for two kinds of operation mode can better reduction fixation spinal fractures, no difference in height, Cobb’s on the vertebral angle correcting both.Comparison of two kinds of surgical bleeding during the operation, there were statistical significance(P < 0.05); hospitalization of two surgical methods were compared, both of which had significant difference(P < 0.05).Conclusion1 the two kinds of surgical methods can better reduction fixation spinal fractures;2 No differences in height, Cobb’s on the vertebral angle correcting both;3 Minimally invasive group and the traditional group compared with less trauma,less bleeding during the operation, quick functional recovery, shorter period of hospitalization, and achieved a satisfactory clinical effect.