Endoscopic minimally invasive pedicle screw fixation for the treatment of thoracolumbar fracture without neurologic injury.docVIP

 PAGE \* MERGEFORMAT 13 Endoscopic minimally invasive pedicle screw fixation for the treatment of thoracolumbar fracture without neurologic injury Of: Wu Yapeng, Wang Dayi, Wei Chang, Wen Guohong [Abstract] Objective To investigate the minimally invasive endoscopic pedicle screw fixation in the treatment of thoracolumbar fractures without neurological damage the safety and effectiveness. Methods From May 2006 to May 2008 30 cases of thoracolumbar nerve injury-free fractures were treated with minimally invasive endoscopic pedicle screw technology, and treated with the same period, 30 patients underwent traditional open pedicle screw fixation compared perioperative parameters and image index, and pain assessment. Results All patients were followed up for 10 to 28 months, an average of 15.3 months. minimally invasive group and time of traditional open surgery group were no significant differences (Pgt; 0.05), while in incision length, blood loss, postoperative drainage, The indicators of hospitalization were significantly different (P lt;0.05), two groups of patients with preoperative and postoperative imaging observation of anterior vertebral height, disc space height, kyphosis Cobb angle was no significant difference (Pgt; 0.05), pain scores between the two groups in perioperative and postoperative follow-up, there were significant differences (P lt;0.05). Conclusion Minimally invasive pedicle screw treatment of thoracolumbar fractures without neurological injury with small incision, less trauma, less bleeding, surgery After the pain, shorter hospital stay, rapid recovery after the recent advantages, but long-term effect needs further follow-up. [Keywords:] fracture fixation, internal, fracture, pedicle screws and minimally invasive Thoracolumbar fractures common clinical fractures, using the traditional surgical treatment of thoracic pedicle screw fracture, tissue trauma, complications, long hospital stay [1,2]. Minimally invasive endoscopic pedicle