Percutaneous versus open internal fixationwith pedicle screw in treatment of patients with spinal fractures

GONG Shuyi; WANG Jingxu; SHEN Yongle

doi:10.7619/jcmp.20201945

Journal of Clinical Medicine in Practice > 2021 > 25(8): 84-87. > DOI: 10.7619/jcmp.20201945

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

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Percutaneous versus open internal fixationwith pedicle screw in treatment of patients with spinal fractures

Department of Spine Surgery, Shenyang City Orthopedic Hospital in Liaoning Province, Shenyang, Liaoning, 110000

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Received Date: December 30, 2020
Available Online: April 29, 2021
Published Date: April 27, 2021

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Abstract

Abstract

Objective To compare the efficacy of percutaneous and open internal fixation with pedicle screw in treatment of patients with spinal fractures.
Methods A total of 60 patients with spinal fractures were divided into percutaneous group and open group, with 30 cases in each group. The perioperative indicators, score of Visual Analogue Scale (VAS), score of Numeric Rating Scale (NRS), indicators of spine vertebral body, and postoperative complications were compared between the two groups.
Results The intraoperative blood loss was less, postoperative bedridden time and hospital stay of the percutaneous group were significantly shorter than those of the open group (P < 0.05). The VAS and NRS scores of the percutaneous group were significantly lower than those of the open group at two weeks after operation (P < 0.05). There were no significant differences in anterior vertebral height ratio and kyphosis angle of vertebral body between the two groups at the time points of before operation, 7 days after operation and 3 months after operation (P>0.05). The incidence of complications in the percutaneous group was 6.67%, which was significantly lower than 23.33% in the open group (P < 0.05).
Conclusion Curative effect is similar between percutaneous and open internal fixation with pedicle screw, but percutaneous internal fixation with pedicle screw can shorten the hospital stay, reduce intraoperative blood loss, alleviate postoperative pain and reduce the incidence of complications.

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References

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