Advance Search
YAO Shixiang. Percutaneous one-way solid pedicle screw fixationversus pedicle screw fixation in treating patients with thoracolumbar fracture[J]. Journal of Clinical Medicine in Practice, 2019, 23(9): 27-30. DOI: 10.7619/jcmp.201909008
Citation: YAO Shixiang. Percutaneous one-way solid pedicle screw fixationversus pedicle screw fixation in treating patients with thoracolumbar fracture[J]. Journal of Clinical Medicine in Practice, 2019, 23(9): 27-30. DOI: 10.7619/jcmp.201909008
shu

Percutaneous one-way solid pedicle screw fixationversus pedicle screw fixation in treating patients with thoracolumbar fracture

  • Department of Orthopedics, Huaiyin Hospital in Huai′an City, Huai′an, Jiangsu, 223300

More Information
  • Received Date: February 12, 2019
  • Accepted Date: March 22, 2019
  • Available Online: December 21, 2020
  • Published Date: May 14, 2019
    Graphical Abstract
    • Abstract
  •   Objective  To compare the effect of percutaneous one-way solid pedicle screw fixation and pedicle screw fixation in the treatment of patients with thoracolumbar fracture.
      Methods  Totally 67 patients with thoracolumbar fracture were divided into minimally invasive group (n=35) and conventional group (n=32). Minimally invasive group was treated with percutaneous one-way solid pedicle screw fixation, while conventional group was treated with pedicle screw fixation. The operation time, intra-operative bleeding volume, drainage volume, creatine kinase level and time of getting out of bed were compared between the two groups. Visual analogue scale (VAS) and dysfunction index (ODI) scores at different time points were compared between the two groups, and the comparison value of anterior vertebral height and Cobb angle were compared between the two groups.
      Results  The operation time, intra-operative bleeding volume, postoperative drainage volume, time to get out of bed and the level of creatine kinase at 1st day after operation in the minimally invasive group were significantly better than those in the conventional group (P < 0.05). There was no significant difference in preoperative VAS score between the two groups (P>0.05). At 1 week after operation, the VAS score of conventional group was significantly higher than that of minimally invasive group (P < 0.05). At 1 month after operation, the VAS score of conventional group was slightly higher than that of minimally invasive group (P>0.05). There was no significant difference in ODI score between the two groups (P>0.05). Three months after operation, the ODI score of the minimally invasive group was significantly lower than that of the conventional group (P < 0.05). Six months after operation, patients in both groups had recovered with behavioral ability, and there was no significant difference in ODI score (P>0.05). There was no significant difference in the comparison value of anterior vertebral height and Cobb angle between the two groups before and 6 months after operation (P>0.05). At 3 months after operation, there was no significant difference in the comparison value of anterior vertebral height between the two groups (P>0.05), but the Cobb angle in the minimally invasive group was significantly higher than that in the conventional group (P < 0.05).
      Conclusion  Compared with the pedicle screw fixation, the percutaneous one-way solid pedicle screw fixation has the advantages of shorter operation time, less bleeding and faster recovery, but there is no significant difference in the final efficacy between the two types of operation.
    • FullText(HTML)
    • References (17)
  • [1]
    熊永发, 宁旭, 闫飞, 等. 经皮椎弓根钉内固定与开放手术内固定治疗老年胸腰椎骨折的疗效对比[J]. 中国老年学杂志, 2016, 36(4): 916-917. doi: 10.3969/j.issn.1005-9202.2016.04.070
    [2]
    卫秀洋, 陈勇忠, 王金星, 等. 微创经皮椎弓根置钉治疗无神经损伤胸腰椎骨折[J]. 临床骨科杂志, 2016, 19(2): 137-140. doi: 10.3969/j.issn.1008-0287.2016.02.003
    [3]
    Zhang W, Li H Y, Zhou Y, et al. Minimally invasive posterior decompression combined with percutaneous pedicle screw fixation for the treatment of thoracolumbar fractures with neurological deficits: a prospective randomized study versus traditional open posterior surgery[J]. Spine, 2016, 41(Suppl 19): B23-B29. http://www.ncbi.nlm.nih.gov/pubmed/27656782
    [4]
    叶彬, 陈令斌, 陈伟, 等. 经皮微创单向实心椎弓根钉内固定治疗胸腰椎骨折[J]. 中国组织工程研究, 2017, 21(27): 4312-4317. doi: 10.3969/j.issn.2095-4344.2017.27.009
    [5]
    贾建忠, 魏斌斌, 张涛, 等. 经皮微创椎弓根钉内固定术治疗创伤性胸腰椎压缩骨折的临床效果分析[J]. 中国中西医结合外科杂志, 2017, 23(1): 26-29. doi: 10.3969/j.issn.1007-6948.2017.01.007
    [6]
    任伟, 陈鑫, 宋乐. 经皮微创椎弓根钉(实心钉HeXinNing椎弓根钉系统)内固定治疗胸腰椎骨折[J]. 临床医药文献电子杂志, 2017, 4(37): 7157, 7159. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX201737017.htm
    [7]
    Wang Q Y, Huang M G, Ou D Q, et al. One-stage extreme lateral interbody fusion and percutaneous pedicle screw fixation in lumbar spine tuberculosis[J]. J Musculoskelet Neuronal Interact, 2017, 17(1): 450-455. http://pubmedcentralcanada.ca/pmcc/articles/PMC5383773/
    [8]
    Li L L, Dong Y H, He Y Q, et al. Treatment of thoracolumbar fractures by percutaneous pedicle screw fixation technique combined with three-step reduction[J]. J Neurol Surg A Cent Eur Neurosurg, 2017, 78(3): 231-237. http://europepmc.org/abstract/MED/27459323
    [9]
    阿拉腾苏和, 李向东, 绳冬喜. 无神经症状胸腰椎骨折经体位复位经皮微创实心椎弓根螺钉内固定治疗的疗效分析[J]. 世界最新医学信息文摘, 2017, 17(37): 42-43. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201737020.htm
    [10]
    Wang H W, Zhou Y, Li C Q, et al. Comparison of open versus percutaneous pedicle screw fixation using the sextant system in the treatment of traumatic thoracolumbar fractures[J]. Clin Spine Surg, 2017, 30(3): E239-E246.
    [11]
    杨俊, 付敏, 钟琼, 等. 爆裂性胸腰椎骨折经皮长尾单向椎弓根螺钉内固术后伤椎植骨处理疗效观察[J]. 首都食品与医药, 2016, 23(22): 53-54. doi: 10.3969/j.issn.1005-8257.2016.22.029
    [12]
    张征石, 陈勇, 钱红兵, 等. 单侧与双侧经皮椎弓根固定微创TLIF的比较[J]. 中国矫形外科杂志, 2017, 25(21): 1944-1948. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS201721006.htm
    [13]
    邹伟, 肖杰, 龙浩, 等. 微创经皮椎弓根螺钉内固定治疗胸腰椎骨折的置钉选择[J]. 中国组织工程研究, 2017, 21(3): 356-361. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF201703008.htm
    [14]
    王令, 赵红霞, 华强, 等. 经皮椎体成形、经皮椎体后凸成形及膨胀式椎弓根钉置入内固定修复原发性骨质疏松性胸腰椎骨折[J]. 中国组织工程研究, 2017, 21(3): 350-355. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF201703007.htm
    [15]
    Korovessis P, Mpountogianni E, Syrimpeis V. Percutaneous pedicle screw fixation plus kyphoplasty for thoracolumbar fractures A2, A3 and B2[J]. Eur Spine J, 2017, 26(5): 1492-1498. doi: 10.1007/s00586-016-4743-6
    [16]
    Li K P, Li Z, Ren X F, et al. Effect of the percutaneous pedicle screw fixation at the fractured vertebra on the treatment of thoracolumbar fractures[J]. Int Orthop, 2016, 40(6): 1103-1110. doi: 10.1007/s00264-016-3156-9
    [17]
    王化明, 李宗军, 魏鹏. 微创经皮椎弓根钉内固定术治疗胸腰椎骨折68例[J]. 中国临床保健杂志, 2016, 19(5): 538-540. doi: 10.3969/J.issn.1672-6790.2016.05.026
    • Related Articles

  • Related Articles

    [1]WANG Fandong, ZHENG Jiazhuang, CHEN Yu, SONG Zhaojun, LIU Yuanbin, TANG Long, WANG Miao, ZHOU Yong, LIU Huiyi. Effects of pedicle screw internal fixation via different approaches in patients with thoracic and lumbar fractures[J]. Journal of Clinical Medicine in Practice, 2023, 27(21): 83-87. DOI: 10.7619/jcmp.20232471
    [2]GONG Shuyi, WANG Jingxu, SHEN Yongle. Percutaneous versus open internal fixationwith pedicle screw in treatment of patients with spinal fractures[J]. Journal of Clinical Medicine in Practice, 2021, 25(8): 84-87. DOI: 10.7619/jcmp.20201945
    [3]ZHANG Bin, PU Hao, WANG Mingzhong, LIU Tuanjiang, HAO Dingjun. Effect of posterior pedicle screw internal fixation combined with vertebroplasty in treatment of patients with thoracolumbar fractures[J]. Journal of Clinical Medicine in Practice, 2020, 24(20): 15-17,21. DOI: 10.7619/jcmp.202020004
    [4]YU Hongzhi, TONG Xianping, ZHU Feng. Percutaneous pedicle screw fixation versus pedicle screw fixation through Wiltse approach in treatment of patients with thoracolumbar fractures[J]. Journal of Clinical Medicine in Practice, 2020, 24(13): 33-36. DOI: 10.7619/jcmp.202013010
    [5]JI Haoyu. Clinical effect of trans-vertebral fixation of three vertebras by pedicle screw on treatment of patients with thoracolumbar fracture[J]. Journal of Clinical Medicine in Practice, 2015, (1): 62-64. DOI: 10.7619/jcmp.201501019
    [6]YI Zaoyuan. Transvertebral bone grafting combined inflating pedicle screws internal fixation for thoracolumbarfracture in eldly patients[J]. Journal of Clinical Medicine in Practice, 2014, (19): 124-126. DOI: 10.7619/jcmp.201419039
    [7]WANG Xiaolin. Comparison of long-term effects between Cage combined with pedicle screw fixation and bone grafting combined with pedicle screw fixation in treatment of patients with lumbar spondylolisthesis[J]. Journal of Clinical Medicine in Practice, 2014, (15): 38-41. DOI: 10.7619/jcmp.201415012
    [8]ZHOU Xuemei. Nursing experience of combined therapy of pedicle screw fixation and bone graft osteoplasty for injured vertebral in the treatment of thoracolumbar fracture[J]. Journal of Clinical Medicine in Practice, 2014, (2): 64-66. DOI: 10.7619/jcmp.201402023
    [9]ZHAO Litao, GUO Mingke, QIN Yaozong. Application of mini-invasive percutaneous pedicle screw fixation in 30 patients with thoracic and lumbar spine fracture[J]. Journal of Clinical Medicine in Practice, 2013, (17): 29-31. DOI: 10.7619/jcmp.201317009
    [10]FEI Baoguo. Therapeutic effect of pedicle screw-rod system in the treatment of thoracolumbar fractures[J]. Journal of Clinical Medicine in Practice, 2013, (14): 104-106. DOI: 10.7619/jcmp.201314037

  • Cited by

    Periodical cited type(10)

    1. 卢镇生，叶握球，冯奕鑫，陈晓丽. 微创经皮椎弓根螺钉内固定与开放手术治疗非神经损伤胸腰椎骨折的临床疗效比较. 吉林医学. 2022(10): 2611-2615 .
    2. 苟林. 后路经皮微创和椎旁肌入路椎弓根螺钉内固定术治疗胸腰椎体骨折疗效观察. 中国煤炭工业医学杂志. 2021(01): 50-54 .
    3. 徐修磊. MIPPSO手术和传统切开椎弓根螺钉内固定治疗胸腰椎骨折的有效性分析. 当代医学. 2021(29): 80-82 .
    4. 李恒. 经皮椎弓根螺钉内固定术在微创脊柱外科中的应用进展. 蛇志. 2021(03): 347-348+362 .
    5. 段莉娜，杜飞，罗颖. 胸椎椎弓根螺钉内固定术中X线透视角度的偏差对术者置钉精确性的影响. 内蒙古医学杂志. 2021(12): 1506-1507 .
    6. 杨俊贤. 经皮单向实心椎弓根钉内固定术对胸腰椎骨折患者胸腰椎功能的影响. 临床医学研究与实践. 2020(12): 61-62 .
    7. 闫庆明. 脊柱压缩性骨折患者经皮微创钉内固定手术治疗的有效性及对患者伤椎影像学指标的影响. 中国医学创新. 2020(21): 1-5 .
    8. 赵腾，马妍妍. 经皮脊柱微创内固定技术治疗创伤性胸腰椎骨折疗效分析. 中外医疗. 2020(23): 66-68 .
    9. 王维霖，赵永旭，王琳. 胸椎椎弓根螺钉置入技术治疗胸椎骨折患者的准确性和安全性. 中国医药指南. 2020(25): 97-98 .
    10. 赵小灵，潘飞龙，刘志元，赵小强. 经皮椎弓根内固定术与后路切开复位椎弓根内固定术在治疗胸腰椎骨折的疗效比较. 世界最新医学信息文摘. 2019(82): 198+203 .

    Other cited types(0)

Catalog

    Get Citation
    PDF
    XML
    Article views (345) PDF downloads (5) Cited by(10)
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return