Effect of minimally invasive versus open pedicle screw fixation on the curative effect and prognosis for repair of thoracolumbar vertebral fracture
CHEN Ren
CAI Wei
LI Xiao-hai
HU Wei
Abstract：Objective To explore the effect of minimally invasive and open pedicle screw fixation on the curative effect and prognosis for the repair of thoracolumbar vertebral fractures .Methods The clinical data of 120 patients who had received treatment for repair of thoracolumbar vertebral fractures in our hospital between Jan .2013 and Dec.2014 was reviewed.They were divided into three groups according to different treatments ,with 43 patients given open fixation as the control group ,38 cases given Quadrant fixation as study groups A and 39 cases given per-cutaneous Sextant fixation as study group B .Perioperative indicators as operation time ,incision length,operative blood loss,efficacy indicators and prognosis of the three groups were compared .Results The perioperative time, incision length,blood loss,drainage,ambulation time,hospital stay in study group A and B were all better than those of the control group(P<0.01),and study group B was better than study group A in terms of incision length ,bleed-ing volume and time for ambulation (P<0.01).After 6 months of treatment,the efficacy indicators in the three groups were improved ,and the improvement of Oswestry Disability Index was more significant in study group B com-pared with that in the control group and study group A (P<0.05).Difference in the incidence of adverse events a-mong the three groups was not statistically significant (P=0.367).Conclusion Minimally invasive pedicle screw fixation has significant effect and satisfactory prognosis for the repair of thoracolumbar vertebral fractures .
Keywords：thoracolumbar vertebral fracturevertebral pedicleinternal fixationminimally invasive
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 485-488 )