| Objective:To explore the clinical effect of minimally invasive percutaneous pedicle screws osteosynthesis(MIPPSO) in
the treatment of thoracolumbar fractures.Methods:A total of 28 patients with thoracolumbar fractures, who were treated in Yibin Second
People's Hospital of Sichuan Province from January 2013 to December 2014, were randomly divided into open group (n=14) and minimally
invasive group (n=14). The open group was treated with traditional open pedicle screws osteosynthesis, while the minimally invasive
group, MIPPSO. The operation time, intraoperative blood loss, postoperative drainage, wound length, hospitalization time, anterior
vertebral body height and Cobb's angle between the two groups were compared and analyzed.Results:There was no significant difference
in the operation time between the two groups (P>0.05), but there was statistical significance in the intraoperative blood loss, postoperative
drainage, wound length, hospitalization time between the two groups, the levels of open group were significantly higher than those
of minimally invasive group(P<0.01). Compared with before operation, the anterior vertebral body height and Cobb's angle of two groups
after operation were improved, the differences were statistically significant P<0.01). Compared before operation with after operation,
there was no significant difference between the two groups (P>0.05).Conclusion:In the treatment effect of patients with thoracolumbar
fractures, MIPPSO is better than traditional open pedicle screws osteosynthesis, with the advantages of less intraoperative blood loss,
minimally invasive, and shorter hospitalization time. |
