The evaluation and safety analysis of the treatment of lumbar fracture with vertebral short segment fixation
GAO Lin
LUO Fei
YU Wen-qi
Abstract：Objective To investigate the therapeutic effect of the short segment fixation of the injured ver-tebra on the fracture of the lumbar spine, and to analyze the postoperative complications.Methods The clinical data of patients with lumbar fracture treated in Department of Orthopedics, Leshan Hospital of Traditional Chinese Medicine from Oct.2010 to Oct.2015 were retrospectively analyzed.According to their operative methods, they were divided into vertebral short segment fixation group and short segment fixation across the injured vertebra group. The general conditions of the two groups were observed,and the recovery and quality of life were compared between the two groups.Results The operation time of vertebral short segment fixation group was(188.9 ±18)minutes, postoperative hospitalization time was(12.1 ±1.6)days,which was more than short segment fixation across the in-jured vertebra group((160.1 ±20.1)minutes,(9.3 ±1)day).Bleeding volume was(312.5 ±9.3)mL in the vertebral fixation group and short segment across the injured vertebra group((285.2 ±10.2)mL,P<0.05).The preoperative vertebral compression rate and kyphosis Cobb's angle difference of the two groups were not statistically significantly different.Six months after surgery,anterior vertebral compression of the vertebral short segment fixation group was(45.1 ±5.9)%,kyphosis Cobb's angle was(25.7 ±3.7)°, which were lower than those in the short segment fixation across the injured vertebra group((45.1 ±6.2)%,(25.7 ±4.1)°).There was no significant difference in serum creatine kinase level between the two groups before operation.The levels of creatine kinase 1,3 and 7day after operation were lower in the vertebral short segment fixation group than those in the short segment fixa -tion across the injured vertebra group.There was no statistically significant difference in quality of life between the two groups before surgery.At 6 months after operation, the quality of life in the short segment fixation group was higher than that in the short segment fixation across the injured vertebra group.Conclusion Vertebral short seg-ment fixation is a good operative procedure for lumbar fractures, though it has longer operation time.It has little damage to paraspinal skeletal muscle and is worthy of clinical application.
Keywords：lumbar vertebra fracturevia the injured vertebraacross the injured vertebrafixation
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：4( 287-290 )