Anterior and posterior internal fixation and fusion surgery in the treatment of thoracolumbar fractures
HONG Quan-ming
YANG Ke-jia
SHEN Fei
SUN Chun-hua
YAN Jia-sheng
JI Yi-ming
Abstract：Objective To investigate the efficacy of anterior and posterior internal fixation and fusion in treating thoracolumbar fractures .Methods The clinical treatment and follow-up data of 90 patients with thoraco-lumbar fractures in our hospital from Jan .2011 to Dec.2013 were retrospectively analyzed .The patients were divid-ed into anterior fixation group(42 cases) and posterior fixation group(48 cases).The intraoperative situation,post-operative X evaluation index at different time ,ASIA neural functional recovery and clinical efficacy of the two groups were statistically analyzed . Results The operation time [ ( 147.3 ± 38.7 ) min ] , the amount of intraoperative bleeding[(607.5 +162.3)mL],incision length[(10.3 ±1.8)cm],postoperative hospitalization time [(10.6 ± 2)d] of the posterior group were significantly lower than those of the anterior group (P<0.05).The anterior height ratio,Cobb angle measurement values preoperatively and immediately after operation had no statistical significance (P>0.05).At the last follow-up after surgery,the anterior height loss of the vertebral anterior height was (1.55 ± 0.17) mm and the Cobb angle loss was (1.26 ±0.72)°in the posterior group,which were significantly lower than those of the anterior group[(7.18 ±1.51)mm,(1.85 ±7.43)°].Before and after the operation,the distribution of ASIA in the posterior group and anterior group had no statistical difference ( P>0.05 ) .The distribution of ASIA nerve function recovery was significantly improved in the two groups after surgery (P<0.05).At the end of the fol-low-up,the excellent rate(77.08%) of the posterior group was higher than that of the anterior group (52.38%), the good and poor rate of the posterior group was significantly lower than that of the anterior group ,and the ODI func-tion distribution of the posterior group was significantly better than that of the anterior group (P<0.05).Conclu-sion Posterior internal fixation and fusion for treatment of thoracolumbar fractures has less trauma ,faster postopera-tive recovery ,smaller Cobb angle loss and more reliable curative effect .
Keywords：thoracolumbar fracturespineinternal fixationfusionanteriorposterior
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：5( 708-712 )