Zhang Jian , Zhao Yang Xue , Li De Cheng , Zhao Jiang , Zhao Yu , Bai Rong . Clinical Effect of Zina and Sextant Pedicle Screw System on Thoracolumbar Fracture[J]. Journal of Kunming Medical University, 2017, 38(01): 117-120.
Citation: Zhang Jian , Zhao Yang Xue , Li De Cheng , Zhao Jiang , Zhao Yu , Bai Rong . Clinical Effect of Zina and Sextant Pedicle Screw System on Thoracolumbar Fracture[J]. Journal of Kunming Medical University, 2017, 38(01): 117-120.

Clinical Effect of Zina and Sextant Pedicle Screw System on Thoracolumbar Fracture

Funds:

基金: 陕西省社会发展科技攻关基金资助项目 (2016SF-151);

  • Received Date: 2016-09-20
  • Objective To compare the curative effect of Zina and Sextant screwing system in the treatment of thoracolumbar fracture.Methods A total of 53 patients included who underwent minimally invasive spine surgery for unstable thoracolumbar fracture without neurological deficit from Jan 2013 to Apr 2014.30 patients were treated with Zina system and 23 patients were treated with Sextant system.The two groups were compared in terms of perioperative indexes, Cobb angle, visual analogue scales (VAS) , Oswestry disability index (ODI) and hospitalization expenses.Results All patients were followed up for 1224 (mean, 16.9) months.Compare with Sextant group, Zina group had significantly shorter surgery time, less intraoperative X-ray exposure, blood loss and hospitalization expenses (P<0.05) .The cobb angle, VAS and ODI at one week, 3 and l 2 months after operation were significantly improved in all the patients (P<0.05) , but the differences between the two groups were not significant (P>0.05) .Conclusions The two minimally invasive pedicle screw systems are effective in the treatment of thoracolumbar fractures, but compared with the Sextant system, Zina system can shorten the operation time, reduce the intraoperative bleeding, X-ray exposure and hospitalization cost.Therefore, the Zina system may be preferable in the treatment of thoracolumbar fracture without neurological deficit.
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