Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (52): 9713-9716.doi: 10.3969/j.issn.1673-8225.2011.52.005

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Effective restoration of the injured vertebral height due to thoracolumbar fractures implanted with double-incision pedicle screws

Huang Yi-fei1, Tong Min1, Wu Yan-sheng1, Zhang Bin1, Hu Wei1, Dong Zhen-yu1, Hu Wei-shan2   

  1. 1Second Department of Spine, Affiliated Chinese Medical Hospital of Xinjiang Medical University, Urumqi  830000, Xinjiang Uygur Autonomous Region, China
    2Eastern Mining Hospital in Urumqi, Urumqi  830058, Xinjiang Uygur Autonomous Region, China
  • Received:2011-09-20 Revised:2011-10-11 Online:2011-12-24 Published:2011-12-24
  • Contact: Hu Wei-Shan, physician, Eastern Mining Hospital in Urumqi, Urumqi 830058, Xinjiang Uygur Autonomous Region, China zerohuweishan@163.com
  • About author:Huang Yi-fei☆, Doctor, Chief physician, Associate professor, Second Department of Spine, Affiliated Chinese Medical Hospital of Xinjiang Medical University, Urumqi 830000, Xinjiang Uygur Autonomous Region, China jerkhuang@163.com

Abstract:

BACKGROUND: Studies show that the posterior pedicle screw fixation is the preferred treatment for flexion compression fracture.
OBJECTIVE: To observe the injured vertebral height and clinical effects of thoracolumbar fractures treated by the two-incision posterior fixation with pedicle screw.
METHODS: Thirty-four patients with thoracolumbar flexion compression fracture diagnosed by X-ray and MRI of thoracolumbar were treated by the two-incision posterior fixation with pedicle screw.
RESULTS AND CONCLUSION: Thirty-four patients were followed-up for 8.9 months in average. There was no loosening of internal fixation or fracture during the follow-up. Complete remission of 21 cases, partial remission of 1 case, and minor response of 1 case were observed in pain treatment. The loss of injured vertebral height of patients was decreased (P < 0.01), the score of the evaluation of functional independence was increased (P < 0.01), and the score of pain visual analogue was decreased (P < 0.01) after treatment compared with before. The results confirm that the two-incision posterior internal fixation of the lumbar can effectively restore the injured vertebral height and limb function, and achieve pain relief. It is the effective treatment for patients with thoracolumbar flexion compression fractures.

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