Comparison of clinical effects of open reduction and intre nal fixation via Wiltse approach or via traditional posterior median approach in treatment of thoracolumbar vertebral fracture
XIAO Xiang
HAN Han
CHENG Liangli
Abstract：Objective To investigate and compare the clinical effects of open reduction and internal fixation via Wiltse approach or via traditional posterior median approach in treatment of thoracolumbar vertebral fracture .Methods Eighty patients with thoracolumbar vertebral fracture who were admitted and treated in our hospital from March 2014 to March 2015 were randomly divided into observation group ( n =40) and control groups ( n =40).The patients in observation group were treated by open reduction and internal fixation via Wiltse approach ,however ,the patients in control group were treated by open reduction and internal fixation via traditional posterior median approach .The changes of imaging indexes and VAS score in different time points at perioperative period were observed and compared between two groups , moreover , the ODI score was recorded at the end of follow up .Results The length of incision and operation time in observation group were shorter than those in control group ,moreover, the intraoperative hemorrhage volume and postoperative drainage volume were less than those in control group .However there were no significant differences in anterior and posterior height of injuried pyramid and convex Cobb angle before and after treatment between two groups ( P >0.05).The VAS scores on 1w,1m,6m and last follow-up after operation in observation group were significantly lower than those in control group ( P <0.05), but there were no significant differences in ODI scores in last follow-up between two groups ( P >0.05).Conclusion The open reduction and internal fixation via Wiltse approach in treatment of thoracolumbar vertebral fracture has the advantages with less trauma , small incision,less bleeding volume,shorter operation time,less pain,satisfactory therapeutic effects, thus,which is worth using widely in clinical practice .
Keywords：thoracolumbar vertebral fractureinternal fixationVia Wiltse approachtraditional posterior median approach
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 991-994 )