Abstract：Objective To investigate the effect of posterior intermuscular space approach internal fixation on pain (VAS) score and imaging indexes in patients with thoracolumbar fracture and dislocation.Methods Eighty-four patients with thoracolumbar fracture and dislocation were selected and divided into observation group (42 cases) and control group (42 cases) by lottery method.The control group was treated with the traditional open approach,while the observation group was treated with the posterior approach through the intramuscular space approach.After surgery,VAS score,spinal canal patency rate of the injured vertebra,percentage of the height of the anterior column of the responsible segment,and Cobb Angle were compared between the two groups.Results Five months after surgery,VAS score in the observation group was lower than that in the control group,and the difference was statistically significant (P<0.05).Five months after the operation,the injured vertebral canal patency rate,the percentage of the height of the front column of the responsible segment,and the level of Cobb Angle were all better than those before the operation,and the differences were statistically significant (P<0.05).Conclusion Compared with traditional open approach,posterior intermuscular approach internal fixation can effectively reduce postoperative pain in patients with thoracolumbar fracture and dislocation,improve the rate of spinal canal patency,percentage of responsible segment height of anterior column,and Cobb Angle,which is beneficial to the prognosis of patients.
赵永明, 郭新军, 杨卫强, 田致忠. 后路经肌间隙入路内固定对胸腰椎骨折脱位患者VAS评分及影像学指标的影响[J]. 哈尔滨医药, 2021, 41(4): 15-16.
Zhao Yongming, Guo Xinjun, Yang Weiqiang, Tian Zhizhong. Effect of Posterior Intermuscular Space Approach Internal Fixation on VAS Score and Lmaging Indexes of Thoracolumbar Fracture and Dislocation. journal1, 2021, 41(4): 15-16.
2021, Vol. 41 
