Clinical Study on Minimally Invasive Percutaneous Pedicle Screw Fixation Combined with Microsurgical Unilateral Approach Bilateral Decompression for Thoracolumbar Burst Fractures with Neurological Injury
WU Yingtian
Abstract：Objective To analyze the clinical efficacy of minimally invasive percutaneous pedicle screw fixation combined with unilateral approach bilateral decompression surgery under a microscope for the treatment of thoracolumbar burst fractures with neurological deficits. Methods A total of 80 patients with thoracolumbar burst fractures and neurological deficits,treated at the Department of Orthopedics,Second Hospital of Sanming City,from October 2020 to October 2023,were enrolled in this study. The patients were randomly divided into two groups:the control group (n=40),who underwent open surgery,and the observation group (n=40),who received minimally invasive percutaneous pedicle screw fixation combined with unilateral approach bilateral decompression under a microscope. The treatment outcomes were compared between the two groups. Results The observation group had significantly less intraoperative blood loss and shorter incision length compared to the control group (P<0.05). At 6 months postoperatively,the observation group had a lower Oswestry Disability Index (ODI) score compared to the control group (P<0.05). Both groups showed improvements in vertebral injury and neurological function post-treatment,with the observation group demonstrating greater improvements(P<0.05). Additionally,the observation group had a shorter time to fracture healing,ambulation,and pain relief compared to the control group(P<0.05). Conclusion Minimally invasive percutaneous pedicle screw fixation combined with unilater-al approach bilateral decompression under a microscope significantly improves clinical symptoms and accelerates postoperative recovery in patients with thoracolumbar burst fractures and neurological deficits,demonstrating sig-nificant clinical value.
Keywords：minimally invasive percutaneous pedicle screw fixationunilateral approach bilateral decom-pressionthoracolumbar burst fracture
Publication Date：2024-11-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1313-1317 )