|
|
|
| Effect of Posterior Intermuscular Space Approach Internal Fixation on VAS Score and Lmaging Indexes of Thoracolumbar Fracture and Dislocation |
| Zhao Yongming, Guo Xinjun, Yang Weiqiang, Tian Zhizhong |
| Xinxiang City Central Hospital,Xinxiang 453000,China |
|
|
|
|
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.
|
|
Received: 20 December 2020
|
|
|
|
|
|
[1] 范红松,刘连,敖俊,等.后路经肌间隙入路与开放入路内固定治疗胸腰椎骨折脱位的疗效比较[J].中华创伤杂志,2018,34(2):121-129.
[2] 费国策,许立新,张斌,等.经椎旁肌间隙入路与传统入路椎弓根钉内固定治疗胸腰椎骨折对比研究[J].陕西医学杂志,2016,45(6):715-716.
[3] 刘琦,林志雄,黎文,等.经椎旁肌间隙与微创经皮入路手术治疗胸腰椎骨折的效果比较[J].广东医学,2016,37(8):1176-1179.
[4] 罗学勤,陆青.后路经皮内固定术与经多裂肌和最长肌间隙入路内固定术治疗无神经症状胸腰椎骨折[J].脊柱外科杂志,2019,17(2):90-94.
[5] 涂洪波,柳峰,赵建华.后路经皮椎弓根钉内固定术与经肌间隙椎弓根钉内固定术治疗胸腰椎骨折的比较[J].创伤外科杂志,2018,20(4):258-262. |
| [1] |
. [J]. journal1, 2021, 41(2): 58-59. |
|
|
|
|
2021, Vol. 41 
