Comparison of the Effects of Minimally Invasive Percutaneous Pedicle Screw Fixation and Conventional Open Spinal Internal Fixation on Type A3 Thoracolumbar Vertebra Fracture

Chen Tai Bang; Lu Sheng; Shi Jun Zhen; Shi Rong Mao; Liang Jin Long

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Article Navigation > Journal of Kunming Medical University > 2019 > 40(03): 58-62

Chen Tai Bang , Lu Sheng , Shi Jun Zhen , Shi Rong Mao , Liang Jin Long . Comparison of the Effects of Minimally Invasive Percutaneous Pedicle Screw Fixation and Conventional Open Spinal Internal Fixation on Type A3 Thoracolumbar Vertebra Fracture[J]. Journal of Kunming Medical University, 2019, 40(03): 58-62.

Citation:

Chen Tai Bang , Lu Sheng , Shi Jun Zhen , Shi Rong Mao , Liang Jin Long . Comparison of the Effects of Minimally Invasive Percutaneous Pedicle Screw Fixation and Conventional Open Spinal Internal Fixation on Type A3 Thoracolumbar Vertebra Fracture[J]. Journal of Kunming Medical University, 2019, 40(03): 58-62.

Citation:

Chen Tai Bang , Lu Sheng , Shi Jun Zhen , Shi Rong Mao , Liang Jin Long . Comparison of the Effects of Minimally Invasive Percutaneous Pedicle Screw Fixation and Conventional Open Spinal Internal Fixation on Type A3 Thoracolumbar Vertebra Fracture[J]. Journal of Kunming Medical University, 2019, 40(03): 58-62.

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Comparison of the Effects of Minimally Invasive Percutaneous Pedicle Screw Fixation and Conventional Open Spinal Internal Fixation on Type A3 Thoracolumbar Vertebra Fracture

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基金：云南省重大科技专项计划项目 (2017ZF025);

Received Date: 2018-09-11

Abstract

Abstract

Objective To compare the clinical efficacy of percutaneous pedicle screw fixation with conventional open spinal internal fixation for type A3 thoracolumbar fractures. Methods The retrospective study consisted of 86 patients who received minimally invasive fixation or open fixation. Patients were between 15 and 56 years of age, had a thoracolumbar fracture and no neurological deficits. Kyphotic angle (Cobb angle) and loss of reduction was compared after minimal invasive and open fixation. The Cobb angle was evaluated directly postoperatively, at 1 week, 6 months and 12 months after surgery. Results Patients who received the minimally invasive fixation had a shorter surgical intervention time and a shorter hospital stay compared to patients who received the open fixation. There was no significant difference in the local Cobb angle between the two groups; the minimally invasive group was significantly different than the open group in the loss of the anterior border of the vertebral body.Conclusions In this study we provide evidence that percutaneous pedicle screw can effectively treat type A3 thoracolumbar fractures with less bleeding, less trauma and quick recovery. This method acquires satisfactory clinical results in long-term follow-up, especially for young patients.
- Minimally invasive spine surgery,
- Open stabilization,
- Thoracolumbar fractures,
- Cobb angle

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References(27)

References

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