Adjacent segments with limited decompression and bone graft fixation in the treatment of thoracolumbar fractures.docVIP

 PAGE \* MERGEFORMAT 3 Adjacent segments with limited decompression and bone graft fixation in the treatment of thoracolumbar fractures Author: Xu million, Sui Xia, Bing-Wu Wang, Li, Andrew Lau, Li Feng, Ji Xu Bin, Zhuang Aoyama [Abstract] [Objective] To study a limited decompression of the adjacent segment pedicle fixation with interbody vertebral fusion in the treatment of thoracolumbar fractures of the feasibility and clinical efficacy. [Method] A retrospective study of application of the treatment of 43 cases of thoracolumbar fracture patients, observed fusion and reset conditions the recovery of neurological function, and correction loss, lower back pain complications and integration of the adjacent vertebral disc degeneration and other complications occurred situation. [Results] The average follow-up of 21.4 months, all patients achieved solid bony fusion, are to be satisfied with the reset, reset rate of 96.1% in the near future without significant correction loss, postoperative neurological functions are varying degrees of recovery, preoperative after rank test P amp;lt;0.01, and the integration of adjacent segment disc degeneration rate was only 4.65%, does not appear intractable low back pain, lumbar activity limitation and other complications, clinical efficacy is superior to long-segment fixation. [Conclusion] as long as the indication choose a suitable, limited decompression and interbody fixation of adjacent segments, vertebral fixation within the bone fusion can not only reach a satisfactory reduction, strong bone fusion, but also can significantly reduce the intractable low back pain, adjacent intervertebral disc degeneration incidence of complications such as. [Keywords:] thoracolumbar fractures; limited decompression; single segment; disc degeneration; interbody fusion Treatment of thoracolumbar vertebral fracture by limited decompression of neighbouring segment with internal fixation and intervertebral body fusion Abstract: [Objectiv