Posterior two kinds of fixation for the treatment of thoracolumbar fractures.doc

 PAGE \* MERGEFORMAT 18 Posterior two kinds of fixation for the treatment of thoracolumbar fractures Author: Wang rights, Dong-Hai Li, Li Tung-lin, LU Qing-Philip Abstract [Objective] To investigate the posterior pedicle screw Steffee plate and AF fixation of thoracolumbar fractures compared. [Method] 46 patients with thoracolumbar fractures in patients with posterior surgery, in which Steffee plate in the treatment of 18 cases (A group), AF nail in the treatment of 28 cases (B group). [Results] followed up for 12 to 48 months, an average of 20 months. AB groups Frankel grade recovery after spinal cord injury was no significant difference (Pgt; 0.05), postoperative vertebral height restoration edge difference was significant (P lt;0.05). There was no wound, deep infections, no spinal cord injury occur or worsen, there two (2 cases) screws into the disc, A, B group of all one; 4 (2 cases) screw breakage, A, B group of all 2 . [Conclusion] The posterior thoracolumbar fractures method is simple, less trauma, less bleeding, easy to use, is the preferred treatment of thoracolumbar fractures into the road. AF nail simple structure, easy operation, fixed solid, reset good, effective decompression, which is the posterior thoracolumbar fracture surgery better way. Keywords: Spinal fractures; thoracic vertebrae; fracture fixation; posterior Thoracolumbar fractures often accompanied by spinal cord injury, accounting for the first spinal fracture, the main anatomical features of its decision [1]. Treatment methods are conservative treatment and surgical treatment, surgical treatment and variety of internal fixation devices. Since January 2000 ~ December 2005, the Court treated 81 cases of thoracolumbar fractures, posterior pedicle screw fixation for the treatment of 46 cases, of which Steffee plate in the treatment of 18 cases, AF nail for the treatment of 28 cases, access to good effect. 1 Data and methods 1.1 General Information