The treatment of thoracic and lumbar vertebrae fracture by transpedicular puncturing and poking reduction and pedicle screw fixation
LI Quan-xiu
CHEN Xiao-dong
ZHAO Hai-bo
LIANG Peng-zhang
Abstract：Objective To explore the feasibility and effectiveness of transpedicular puncturing and poking reduction and pedicle screw fixation for the treatment of thoracic and lumbar vertebrae fractures .Methods Sixty-four patients with thoracic and lumbar vertebrae fracture from Feb .2012-mar.2015 were retrospectively analyzed , and were divided into observation group and control group ,with 32 cases in each group .The observation group was treated by puncturing and poking reduction outside of the pedicle ,bone grafting and pedicle screw fixation .The con-trol group was treated by the traditional distraction reduction by pedicle screw fixation ,transpedicular puncture and bone grafting in injured vertebral body .The operation time , intraoperative bleeding volume , postoperative drainage and length of stay were recorded .Anterior and posterior vertebral height and kyphosis Cobb angle were measured , and VAS score and Oswestry disability index score were recorded in both groups before and after operation .Results The preoperative VAS score was ( 6.782 ±1.821 ) points in the observation group , and was ( 6.827 ±1.762 ) points in the control group; preoperative anterior height percentage of injured vertebral body was ( 57.658 ± 23.645)％ in the observation group ,and was (58.162 ±24.852 )％ in the control group; preoperative posterior height percentage of injured vertebral body was (88.645 ±8.624) ％in the observation group ,and was (87.927 ± 7.848)％in the control group,preoperative kyphosis Cobb angle was (28.665 ±4.824)°in the observation group, and was (29.134 ±5.508)°in the control group;operation time was (135.675 ±23.318) min in the observation group,and was (130.731 ±21.761) min in the control group; intraoperative bleeding volume was (456.214 ± 63.525) mL in the observation group ,and was (461.532 ±60.753) mL in the control group; postoperative drain-age was (43.847 ±16.358) mL in the observation group ,and was (42.971 ±15.523 ) mL in the control group;length of stay was (10.878 ±2.148) d in the observation group ,and was (11.323 ±2.512) d in the control group;postoperative VAS score was (0.184 ±0.263) points in the observation group ,and was (0.195 ±0.325) points in the control group and Oswestry disability index of final follow -up was(2.463 ±0.652 in the observation group ,and was (2.624 ±0.765) in the control group; all the indicators had no statistical difference between the observation group and the control group(P>0.05).The postoperative anterior height percentage of injured vertebral body (ob-servation group was 98.083 ±1.635,control group was 93.157 ±2.019),the postoperative posterior height percent-age of injured vertebral body (observation group was 98.504 ±2.572,control group was 96.248 ±4.824),and the postoperative kyphosis Cobb angle (observation group was 3.623 ±2.563°,control group was 7.626 ±3.613°)of fi-nal follow-up were found to have statistical differences between the observation group and the control group ( P<0.05).Conclusion Transpedicular puncturing and poking reduction and pedicle screw fixation for the treatment of Denis B and D thoracic and lumbar vertebral compression fractures and Denis B vertebral burst fractures can bet -ter restore the anterior and posterior vertebral height and correct the kyphosis Cobb angle .
Keywords：thoracic and lumbar vertebrae fractureinjured vertebral bodypoking reductioninternal fixa-tion
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 17-22 )