Comparison Clinical Outcomes of Posterior Short Segment Transpedicular Fixation with or without Injured Vertebra Fixation in Thoracolumbar Burst Fracture: A Retrospective Study.

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY

Turkish neurosurgery Pub Date : 2024-01-01 DOI:10.5137/1019-5149.JTN.42501-22.3

Qi Liu, Jie Jiang, Longfei Huang, Xiaoping Liu, Ahui Li, Jian Zhou

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引用次数: 0

Abstract

Aim: To evaluate and compare clinical outcomes between the posterior short-segment pedicle fixation with injured vertebra fixation (PSPFI) and fixation without injured vertebra fixation (PSPF) for thoracolumbar burst fracture (TLBF).

Material and methods: In this retrospective study, a total of 78 patients with TLBF were included and assigned to PSPFI (n=46) and PSPF (n=32) groups. The operative time, blood loss, perioperative complications, Oswestry disability index (ODI), and visual analog pain score (VAS) were examined immediately after surgery, 1 month, 3 months, and 1 year after surgery. Moreover, the postoperative vertebral height correction rate and postoperative Cobb angle correction rate were examined immediately and 1 year after surgery, as well as the corrected vertebral height loss rate and Cobb angle correction loss rate.

Results: No significant difference was identified in terms of operative time, blood loss, perioperative complications, ODI, and VAS after surgery (p > 0.05) between the PSPFI and PSPF groups. Moreover, the postoperative vertebral height correction rate and postoperative Cobb angle correction rate showed no difference between the groups as well. However, the PSPFI group had a significantly lower loss rate in terms of corrected vertebral height loss rate and Cobb angle correction loss rate than the PSPF group 1 year after surgery (p < 0.05).

Conclusion: PSPFI and PSPF achieve similar clinical outcomes. However, posterior short-segment pedicle fixation with injured vertebra significantly maintains vertebral height correction rate and Cobb angle correction rate, which serve as a better choice for the treatment of TLBF.

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胸腰椎爆裂性骨折后路短节段经椎固定与损伤椎体固定的临床疗效比较：一项回顾性研究。

目的：带伤椎体后路短节椎弓根固定术（PSPFI）和不带伤椎体固定术（PSPF）治疗胸腰椎爆裂性骨折（TLBF）一直是首选的手术方法，但PSPFI的临床疗效是否优于PSPF尚不明确。本研究旨在评估 PSPF 和 PSPFI 治疗 TLBF 的临床疗效：在这项回顾性研究中，共纳入了 78 例 TLBF 患者，并将其分为 PSPFI 组（n=46）和 PSPF 组（n=32）。对术后即刻、术后1个月、术后3个月和术后1年的手术时间、失血量、围术期并发症、Oswestry残疾指数（ODI）和视觉模拟疼痛评分（VAS）进行了检查。此外，还检查了术后椎体高度矫正率和术后 Cobb 角矫正率，以及矫正后椎体高度损失率和 Cobb 角矫正损失率：PSPFI组和PSPF组在手术时间、失血量、围术期并发症、ODI和术后VAS方面无明显差异（P0.05）。此外，两组的术后椎体高度矫正率和术后 Cobb 角矫正率也无差异。然而，PSPFI 组术后 1 年的椎体高度矫正损失率和 Cobb 角矫正损失率明显低于 PSPF 组（P 0.05）：PSPFI和PSPF取得了相似的临床效果。然而，带伤椎体的后路短节段椎弓根固定术可显著维持椎体高度矫正率和Cobb角矫正率，是治疗TLBF的更好选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Turkish neurosurgery 医学-临床神经学

CiteScore

1.50

自引率

12.50%

发文量

126

审稿时长

2 months

期刊介绍： Turkish Neurosurgery is a peer-reviewed, multidisciplinary, open access and totally free journal directed at an audience of neurosurgery physicians and scientists. The official language of the journal is English. The journal publishes original articles in the form of clinical and basic research. Turkish Neurosurgery will only publish studies that have institutional review board (IRB) approval and have strictly observed an acceptable follow-up period. With the exception of reference presentation, Turkish Neurosurgery requires that all manuscripts be prepared in accordance with the Uniform Requirements for Manuscripts Submitted to Biomedical Journals.