Prospective study of posterior approach through multifidus for thoracolumbar fractures
FANG Jianbo
XIONG Jun
JIANG Liyun
CHEN Xiang
YANG Dazhi
YI Weihong
Abstract：Objective To investigate the clinical outcomes of thoracolumbar fractures treated by posterior approach through multifidus. Methods Treated in Jiujiang Hospital of Traditional Chinese Medicine and Shenzhen Nanshan District People's Hospital from March 2010 to March 2013, 60 patients suffered from thoracolumbar fractures and not required surgical decompression were divided into 2 groups randomly, 30 patients in control group underwent traditional posterior surgical approach and other 30 patients in study group received posterior approach through multifidus. Clinical indicators such as operation time, intraoperative estimate blood loss, postoperative drainage, length of hospital stay, postoperative Cobb angle correction rate, vertebral body height correction rate and pain visual analogue scale (VAS) score were compared between two groups. Results The differences of postoperative Cobb angle correction rate, vertebral body height correction rate between two groups had no statistical significance (P >0.05). In terms of operation time, intraoperative estimate blood loss, postoperative drainage, length of hospital stay, postoperative VAS score in treatment group they were better than those in control group (P <0.05). Conclusion Compared with traditional posterior approach, multifidus approach for thoracolumbar fractures provides better clinical effects because it showed shorten operation time and hospital stay length, reduce surgical injury and accelerate recovery of low back pain.
Keywords：Spinal fracturesThoracic vertebraeLumbar vertebraeFracture fixationinternalMultifidus muscle approach
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 341-344 )