Clinical observation of posterior lateral unilateral total vertebral body fusion and pedicle screw fixation for treatment of thoracolumbar burst fractures
LIU Shi-yan
WANG Ying
Abstract：Objective To investigate the clinical effects of trans-vertebral subtotal vertebral body fusion and pedicle screw fixation in the treatment of thoracolumbar burst fractures.Methods Forty-one patients(29 males and 12 females aged from 31 to 59 years)with Denis B-type thoracolumbar burst fractures were treated in Tangshan People's Hospital from Jan.2014 to Mar.2016.According to the different surgical methods,they were divided into the posterior unilateral approach group(23 cases)and anterior-lateral approach group(18 cases).Surgical indica-tors,clinical efficacy,postoperative recovery and the incidence of complications were observed in the two groups. Results The operative time was(181.66 ±21.47)min,the intraoperative blood loss was(614.84 ±111.75)mL and the postoperative drainage volume was(286.84 ±61.79)mL in the posterior unilateral approach group and (177.53 ±19.82)min,(627.88 ±134.20)mL and(279.66 ±62.48)mL in the anterior-lateral approach group, respectively.There was no significant difference between the two groups(P>0.05).The total effective rate was 95.65%in the unilateral approach group and 72.22%in the anterior approach group,and the difference was statis-tically significant(P<0.05).The incidence of postoperative complication rate was 8.69%in the posterior unilateral approach group and 5.56%in the anterior lateral approach group,and the difference was not statistically significant (P>0.05).Conclusion The posterior unilateral total vertebral body fusion and pedicle screw fixation is effective in treating thoracolumbar burst fractures and is worthy of clinical promotion.
Keywords：thoracolumbar burst fractureposterior unilateral approachanterior-lateral approachefficacy
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( 290-293 )