Comparison in Clinical Outcomes between Paraspinal Approach and Posterior Median Approach for Thoracolumbar Fractures with Posterior Opperation

Abstract：Objective:To compare the clinical outcomes of paraspinal approach with those of posterior median approach for thoracolumbar fractures with posterior operation.Method:From the author’s hospital treated 40 cases without neurological symptoms,patients with thoracolumbar fractures without spinal canal decompression,surgical treatment,by using the method to random number table were divided into A,B two groups,20 cases each.Group A with vertebral side clearance into the road,group B after the middle of the road,comparing two groups of incision length,operative time,intraoperative blood loss,postoperative, preoperative postoperative drain fanterior edge postoperative VAS score height,preoperative and postoperative Cobb Angle correct rate.Result:Two groups of patients in postoperative 1 week VAS score,preoperative and postoperative fanterior flange height ratio of postoperative Cobb Angle correction rate,there was no statistically significant difference(P>0.05).In group A incision length,operation time,intraoperative blood loss,postoperative flow and postoperative 3,6 months VAS score were better than group B,the difference was statistically significant(P<0.05).Conclusion:Treatment of thoracolumbar fracture through paraspinal approach has an advantage of minimal invase,less bleeding and quick relief of back pain postoperatively,its accord with idea of minimal invasive,the way of surgery is worth to popularize.