Perioperative and short-term advantages of minimally invasive approach for the treatment of thoracolumbar fracture
WANG Shi-jun
LI Chun-de
LIU Xian-yi
SUN Hao-lin
YU Zheng-rong
YI Xiao-dong
LI Hong
LIU Hong
Abstract：Objective To investigate the perioperative and short-term clinical outcomes of minimally invasive approach for the treatment of thoracolumbar fracture ( minimally invasive paraspinal muscle approach +pedicle screw fixation ). Methods From January 2013 to July 2016, 46 patients with thoracolumbar fracture were retrospectively analyzed. Twenty-four patients underwent surgeries by minimally invasive paraspinal muscle approach ( minimally invasive group ), and 22 patients by conventional median approach ( conventional group ). Operation time, intraoperative blood loss, postoperative hospitalization stay were compared between 2 groups. Clinical results were assessed by Oswestry disability index ( ODI ) in the final follow-up. Results There were no significant differences in age, gender, height, weight, body mass index, preoperative visual analogue scale, and preoperative Oswestry disability index ( ODI ) between the 2 groups ( P > 0.05 ). There were no significant differences in the mean operation time between the 2 groups: minimally invasive group ( 114.5 ± 26.3 ) min, conventional group ( 105.7 ± 23.4 ) min ( P >0.05 ). There were significant differences in the intraoperative blood loss: minimally invasive group ( 118.6 ± 32.1 ) ml, conventional group ( 217.4 ± 41.5 ) ml ( P < 0.05 ). There were significant differences in the hospitalization stay:minimally invasive group ( 3.8 ± 1.1 ) days, conventional group ( 5.4 ± 1.4 ) days ( P < 0.05 ). There were significant differences in the ODI in the final follow-up: minimally invasive group ( 15.9 ± 11.4 ), conventional group ( 30.1 ± 15.2 ) ( P < 0.05 ). Conclusions Minimally invasive paraspinal muscle approach has the advantages of being less invasive and quick recovery, but further investigations are still needed to confirm the long term effects.
Keywords：Spinal fracturesThoracic vertebraeLumbar vertebraeMinimally Invasive surgical procedures
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：5( 742-746 )