Clinical study on the application of minimally invasive percutaneous pedicle screw fixation in single segment thoracolumbar fracture without neurological symptoms

<p<<strong<Objective</strong< To discuss the clinical effects of minimally invasive percutaneous pedicle screw fixation in the treatment of single segment thoracolumbar fracture without neurological symptoms. <strong<Methods</strong< From June 2012 to October 2014, 38 neurologically intact patients with thoracolumbar fracture underwent surgeries, including open pedicle screw fixation in 16 cases and percutaneous pedicle screw fixation in 22 cases. The incision length, operation time, intraoperative blood loss, postoperative drainage and postoperative complication were recorded and compared between 2 groups. Thoracolumbar orthophoric, lateral and flexion-extension X-ray was used to measure sagittal Cobb angle and height of injured anterior vertebral body before and after operation. Modified Macnab evaluation was used to assess the curative effects 3 months after operation. <strong<Results</strong< The success rate of operations in 38 patients was 100%. There were a total of 114 vertebral bodies fused and 228 pedicle screws implanted. Patients in the percutaneous pedicle screw group had smaller incision length [(10.55 ± 1.23) cm vs (18.50 ± 2.50) cm, <em<P</em< = 0.000], less intraoperative blood loss [(32.55 ± 7.22) ml vs (320.50 ± 15.48) ml,<em< P</em< = 0.000], shorter hospital stay [(6.55 ± 1.50) d vs (13.50 ± 2.52) d, <em<P</em< = 0.000], and without postoperative drainage. The follow-up after operation ranged from 3 to 6 months, with the average time of (4.65 ± 1.24) months. Cobb angle was reduced (<em<P</em< = 0.000) and height of injured anterior vertebral body were improved signifcantly (<em<P</em< = 0.000) 3 months after surgery in both groups. The total effective rate was 14/16 in open surgery group, and 86.36% (19/22) in percutaneous pedicle screw group, however, the difference between 2 groups was not significant (<em<P</em< = 1.000). <strong<Conclusions</strong< Minimally invasive percutaneous pedicle screw fixation is a surgical method with less iatrogenic injury, less intraoperative blood loss and quick recovery for patients with thoracolumbar fracture. The short-term effect of percutaneous surgery is similar to open surgery, however, its long-term effect remains to be further studied.</p<<p< </p<<p<<strong<DOI: </strong<10.3969/j.issn.1672-6731.2016.03.004</p< Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Jin-ping LIU [verfasserIn] Hai-long FENG [verfasserIn] Dong-dong ZHAO [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch ; Chinesisch

Erschienen:	2016

Schlagwörter:	Spinal fractures Thoracic vertebrae Lumbar vertebrae Internal fixation (not in MeSH) Surgical procedures, minimally invasive

Übergeordnetes Werk:	In: Chinese Journal of Contemporary Neurology and Neurosurgery - Tianjin Huanhu Hospital, 2013, 16(2016), 3, Seite 130-135
Übergeordnetes Werk:	volume:16 ; year:2016 ; number:3 ; pages:130-135

Links:	Link aufrufen Link aufrufen Journal toc

Katalog-ID:	DOAJ068274092

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520			\|a <p<<strong<Objective</strong< To discuss the clinical effects of minimally invasive percutaneous pedicle screw fixation in the treatment of single segment thoracolumbar fracture without neurological symptoms. <strong<Methods</strong< From June 2012 to October 2014, 38 neurologically intact patients with thoracolumbar fracture underwent surgeries, including open pedicle screw fixation in 16 cases and percutaneous pedicle screw fixation in 22 cases. The incision length, operation time, intraoperative blood loss, postoperative drainage and postoperative complication were recorded and compared between 2 groups. Thoracolumbar orthophoric, lateral and flexion-extension X-ray was used to measure sagittal Cobb angle and height of injured anterior vertebral body before and after operation. Modified Macnab evaluation was used to assess the curative effects 3 months after operation. <strong<Results</strong< The success rate of operations in 38 patients was 100%. There were a total of 114 vertebral bodies fused and 228 pedicle screws implanted. Patients in the percutaneous pedicle screw group had smaller incision length [(10.55 ± 1.23) cm vs (18.50 ± 2.50) cm, <em<P</em< = 0.000], less intraoperative blood loss [(32.55 ± 7.22) ml vs (320.50 ± 15.48) ml,<em< P</em< = 0.000], shorter hospital stay [(6.55 ± 1.50) d vs (13.50 ± 2.52) d, <em<P</em< = 0.000], and without postoperative drainage. The follow-up after operation ranged from 3 to 6 months, with the average time of (4.65 ± 1.24) months. Cobb angle was reduced (<em<P</em< = 0.000) and height of injured anterior vertebral body were improved signifcantly (<em<P</em< = 0.000) 3 months after surgery in both groups. The total effective rate was 14/16 in open surgery group, and 86.36% (19/22) in percutaneous pedicle screw group, however, the difference between 2 groups was not significant (<em<P</em< = 1.000). <strong<Conclusions</strong< Minimally invasive percutaneous pedicle screw fixation is a surgical method with less iatrogenic injury, less intraoperative blood loss and quick recovery for patients with thoracolumbar fracture. The short-term effect of percutaneous surgery is similar to open surgery, however, its long-term effect remains to be further studied.</p<<p< </p<<p<<strong<DOI: </strong<10.3969/j.issn.1672-6731.2016.03.004</p<
650		4	\|a Spinal fractures
650		4	\|a Thoracic vertebrae
650		4	\|a Lumbar vertebrae
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653		0	\|a Neurology. Diseases of the nervous system
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700	0		\|a Dong-dong ZHAO \|e verfasserin \|4 aut
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allfields	(DE-627)DOAJ068274092 (DE-599)DOAJ73a5025f88424b48a9395ce36cf80224 DE-627 ger DE-627 rakwb eng chi RC346-429 Jin-ping LIU verfasserin aut Clinical study on the application of minimally invasive percutaneous pedicle screw fixation in single segment thoracolumbar fracture without neurological symptoms 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<<strong<Objective</strong< To discuss the clinical effects of minimally invasive percutaneous pedicle screw fixation in the treatment of single segment thoracolumbar fracture without neurological symptoms. <strong<Methods</strong< From June 2012 to October 2014, 38 neurologically intact patients with thoracolumbar fracture underwent surgeries, including open pedicle screw fixation in 16 cases and percutaneous pedicle screw fixation in 22 cases. The incision length, operation time, intraoperative blood loss, postoperative drainage and postoperative complication were recorded and compared between 2 groups. Thoracolumbar orthophoric, lateral and flexion-extension X-ray was used to measure sagittal Cobb angle and height of injured anterior vertebral body before and after operation. Modified Macnab evaluation was used to assess the curative effects 3 months after operation. <strong<Results</strong< The success rate of operations in 38 patients was 100%. There were a total of 114 vertebral bodies fused and 228 pedicle screws implanted. Patients in the percutaneous pedicle screw group had smaller incision length [(10.55 ± 1.23) cm vs (18.50 ± 2.50) cm, <em<P</em< = 0.000], less intraoperative blood loss [(32.55 ± 7.22) ml vs (320.50 ± 15.48) ml,<em< P</em< = 0.000], shorter hospital stay [(6.55 ± 1.50) d vs (13.50 ± 2.52) d, <em<P</em< = 0.000], and without postoperative drainage. The follow-up after operation ranged from 3 to 6 months, with the average time of (4.65 ± 1.24) months. Cobb angle was reduced (<em<P</em< = 0.000) and height of injured anterior vertebral body were improved signifcantly (<em<P</em< = 0.000) 3 months after surgery in both groups. The total effective rate was 14/16 in open surgery group, and 86.36% (19/22) in percutaneous pedicle screw group, however, the difference between 2 groups was not significant (<em<P</em< = 1.000). <strong<Conclusions</strong< Minimally invasive percutaneous pedicle screw fixation is a surgical method with less iatrogenic injury, less intraoperative blood loss and quick recovery for patients with thoracolumbar fracture. The short-term effect of percutaneous surgery is similar to open surgery, however, its long-term effect remains to be further studied.</p<<p< </p<<p<<strong<DOI: </strong<10.3969/j.issn.1672-6731.2016.03.004</p< Spinal fractures Thoracic vertebrae Lumbar vertebrae Internal fixation (not in MeSH) Surgical procedures, minimally invasive Neurology. Diseases of the nervous system Hai-long FENG verfasserin aut Dong-dong ZHAO verfasserin aut In Chinese Journal of Contemporary Neurology and Neurosurgery Tianjin Huanhu Hospital, 2013 16(2016), 3, Seite 130-135 (DE-627)741171848 (DE-600)2710763-2 16726731 nnns volume:16 year:2016 number:3 pages:130-135 https://doaj.org/article/73a5025f88424b48a9395ce36cf80224 kostenfrei http://www.cjcnn.org/index.php/cjcnn/article/view/1366 kostenfrei https://doaj.org/toc/1672-6731 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2016 3 130-135
spelling	(DE-627)DOAJ068274092 (DE-599)DOAJ73a5025f88424b48a9395ce36cf80224 DE-627 ger DE-627 rakwb eng chi RC346-429 Jin-ping LIU verfasserin aut Clinical study on the application of minimally invasive percutaneous pedicle screw fixation in single segment thoracolumbar fracture without neurological symptoms 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<<strong<Objective</strong< To discuss the clinical effects of minimally invasive percutaneous pedicle screw fixation in the treatment of single segment thoracolumbar fracture without neurological symptoms. <strong<Methods</strong< From June 2012 to October 2014, 38 neurologically intact patients with thoracolumbar fracture underwent surgeries, including open pedicle screw fixation in 16 cases and percutaneous pedicle screw fixation in 22 cases. The incision length, operation time, intraoperative blood loss, postoperative drainage and postoperative complication were recorded and compared between 2 groups. Thoracolumbar orthophoric, lateral and flexion-extension X-ray was used to measure sagittal Cobb angle and height of injured anterior vertebral body before and after operation. Modified Macnab evaluation was used to assess the curative effects 3 months after operation. <strong<Results</strong< The success rate of operations in 38 patients was 100%. There were a total of 114 vertebral bodies fused and 228 pedicle screws implanted. Patients in the percutaneous pedicle screw group had smaller incision length [(10.55 ± 1.23) cm vs (18.50 ± 2.50) cm, <em<P</em< = 0.000], less intraoperative blood loss [(32.55 ± 7.22) ml vs (320.50 ± 15.48) ml,<em< P</em< = 0.000], shorter hospital stay [(6.55 ± 1.50) d vs (13.50 ± 2.52) d, <em<P</em< = 0.000], and without postoperative drainage. The follow-up after operation ranged from 3 to 6 months, with the average time of (4.65 ± 1.24) months. Cobb angle was reduced (<em<P</em< = 0.000) and height of injured anterior vertebral body were improved signifcantly (<em<P</em< = 0.000) 3 months after surgery in both groups. The total effective rate was 14/16 in open surgery group, and 86.36% (19/22) in percutaneous pedicle screw group, however, the difference between 2 groups was not significant (<em<P</em< = 1.000). <strong<Conclusions</strong< Minimally invasive percutaneous pedicle screw fixation is a surgical method with less iatrogenic injury, less intraoperative blood loss and quick recovery for patients with thoracolumbar fracture. The short-term effect of percutaneous surgery is similar to open surgery, however, its long-term effect remains to be further studied.</p<<p< </p<<p<<strong<DOI: </strong<10.3969/j.issn.1672-6731.2016.03.004</p< Spinal fractures Thoracic vertebrae Lumbar vertebrae Internal fixation (not in MeSH) Surgical procedures, minimally invasive Neurology. Diseases of the nervous system Hai-long FENG verfasserin aut Dong-dong ZHAO verfasserin aut In Chinese Journal of Contemporary Neurology and Neurosurgery Tianjin Huanhu Hospital, 2013 16(2016), 3, Seite 130-135 (DE-627)741171848 (DE-600)2710763-2 16726731 nnns volume:16 year:2016 number:3 pages:130-135 https://doaj.org/article/73a5025f88424b48a9395ce36cf80224 kostenfrei http://www.cjcnn.org/index.php/cjcnn/article/view/1366 kostenfrei https://doaj.org/toc/1672-6731 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2016 3 130-135
allfields_unstemmed	(DE-627)DOAJ068274092 (DE-599)DOAJ73a5025f88424b48a9395ce36cf80224 DE-627 ger DE-627 rakwb eng chi RC346-429 Jin-ping LIU verfasserin aut Clinical study on the application of minimally invasive percutaneous pedicle screw fixation in single segment thoracolumbar fracture without neurological symptoms 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<<strong<Objective</strong< To discuss the clinical effects of minimally invasive percutaneous pedicle screw fixation in the treatment of single segment thoracolumbar fracture without neurological symptoms. <strong<Methods</strong< From June 2012 to October 2014, 38 neurologically intact patients with thoracolumbar fracture underwent surgeries, including open pedicle screw fixation in 16 cases and percutaneous pedicle screw fixation in 22 cases. The incision length, operation time, intraoperative blood loss, postoperative drainage and postoperative complication were recorded and compared between 2 groups. Thoracolumbar orthophoric, lateral and flexion-extension X-ray was used to measure sagittal Cobb angle and height of injured anterior vertebral body before and after operation. Modified Macnab evaluation was used to assess the curative effects 3 months after operation. <strong<Results</strong< The success rate of operations in 38 patients was 100%. There were a total of 114 vertebral bodies fused and 228 pedicle screws implanted. Patients in the percutaneous pedicle screw group had smaller incision length [(10.55 ± 1.23) cm vs (18.50 ± 2.50) cm, <em<P</em< = 0.000], less intraoperative blood loss [(32.55 ± 7.22) ml vs (320.50 ± 15.48) ml,<em< P</em< = 0.000], shorter hospital stay [(6.55 ± 1.50) d vs (13.50 ± 2.52) d, <em<P</em< = 0.000], and without postoperative drainage. The follow-up after operation ranged from 3 to 6 months, with the average time of (4.65 ± 1.24) months. Cobb angle was reduced (<em<P</em< = 0.000) and height of injured anterior vertebral body were improved signifcantly (<em<P</em< = 0.000) 3 months after surgery in both groups. The total effective rate was 14/16 in open surgery group, and 86.36% (19/22) in percutaneous pedicle screw group, however, the difference between 2 groups was not significant (<em<P</em< = 1.000). <strong<Conclusions</strong< Minimally invasive percutaneous pedicle screw fixation is a surgical method with less iatrogenic injury, less intraoperative blood loss and quick recovery for patients with thoracolumbar fracture. The short-term effect of percutaneous surgery is similar to open surgery, however, its long-term effect remains to be further studied.</p<<p< </p<<p<<strong<DOI: </strong<10.3969/j.issn.1672-6731.2016.03.004</p< Spinal fractures Thoracic vertebrae Lumbar vertebrae Internal fixation (not in MeSH) Surgical procedures, minimally invasive Neurology. Diseases of the nervous system Hai-long FENG verfasserin aut Dong-dong ZHAO verfasserin aut In Chinese Journal of Contemporary Neurology and Neurosurgery Tianjin Huanhu Hospital, 2013 16(2016), 3, Seite 130-135 (DE-627)741171848 (DE-600)2710763-2 16726731 nnns volume:16 year:2016 number:3 pages:130-135 https://doaj.org/article/73a5025f88424b48a9395ce36cf80224 kostenfrei http://www.cjcnn.org/index.php/cjcnn/article/view/1366 kostenfrei https://doaj.org/toc/1672-6731 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2016 3 130-135
allfieldsGer	(DE-627)DOAJ068274092 (DE-599)DOAJ73a5025f88424b48a9395ce36cf80224 DE-627 ger DE-627 rakwb eng chi RC346-429 Jin-ping LIU verfasserin aut Clinical study on the application of minimally invasive percutaneous pedicle screw fixation in single segment thoracolumbar fracture without neurological symptoms 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<<strong<Objective</strong< To discuss the clinical effects of minimally invasive percutaneous pedicle screw fixation in the treatment of single segment thoracolumbar fracture without neurological symptoms. <strong<Methods</strong< From June 2012 to October 2014, 38 neurologically intact patients with thoracolumbar fracture underwent surgeries, including open pedicle screw fixation in 16 cases and percutaneous pedicle screw fixation in 22 cases. The incision length, operation time, intraoperative blood loss, postoperative drainage and postoperative complication were recorded and compared between 2 groups. Thoracolumbar orthophoric, lateral and flexion-extension X-ray was used to measure sagittal Cobb angle and height of injured anterior vertebral body before and after operation. Modified Macnab evaluation was used to assess the curative effects 3 months after operation. <strong<Results</strong< The success rate of operations in 38 patients was 100%. There were a total of 114 vertebral bodies fused and 228 pedicle screws implanted. Patients in the percutaneous pedicle screw group had smaller incision length [(10.55 ± 1.23) cm vs (18.50 ± 2.50) cm, <em<P</em< = 0.000], less intraoperative blood loss [(32.55 ± 7.22) ml vs (320.50 ± 15.48) ml,<em< P</em< = 0.000], shorter hospital stay [(6.55 ± 1.50) d vs (13.50 ± 2.52) d, <em<P</em< = 0.000], and without postoperative drainage. The follow-up after operation ranged from 3 to 6 months, with the average time of (4.65 ± 1.24) months. Cobb angle was reduced (<em<P</em< = 0.000) and height of injured anterior vertebral body were improved signifcantly (<em<P</em< = 0.000) 3 months after surgery in both groups. The total effective rate was 14/16 in open surgery group, and 86.36% (19/22) in percutaneous pedicle screw group, however, the difference between 2 groups was not significant (<em<P</em< = 1.000). <strong<Conclusions</strong< Minimally invasive percutaneous pedicle screw fixation is a surgical method with less iatrogenic injury, less intraoperative blood loss and quick recovery for patients with thoracolumbar fracture. The short-term effect of percutaneous surgery is similar to open surgery, however, its long-term effect remains to be further studied.</p<<p< </p<<p<<strong<DOI: </strong<10.3969/j.issn.1672-6731.2016.03.004</p< Spinal fractures Thoracic vertebrae Lumbar vertebrae Internal fixation (not in MeSH) Surgical procedures, minimally invasive Neurology. Diseases of the nervous system Hai-long FENG verfasserin aut Dong-dong ZHAO verfasserin aut In Chinese Journal of Contemporary Neurology and Neurosurgery Tianjin Huanhu Hospital, 2013 16(2016), 3, Seite 130-135 (DE-627)741171848 (DE-600)2710763-2 16726731 nnns volume:16 year:2016 number:3 pages:130-135 https://doaj.org/article/73a5025f88424b48a9395ce36cf80224 kostenfrei http://www.cjcnn.org/index.php/cjcnn/article/view/1366 kostenfrei https://doaj.org/toc/1672-6731 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2016 3 130-135
allfieldsSound	(DE-627)DOAJ068274092 (DE-599)DOAJ73a5025f88424b48a9395ce36cf80224 DE-627 ger DE-627 rakwb eng chi RC346-429 Jin-ping LIU verfasserin aut Clinical study on the application of minimally invasive percutaneous pedicle screw fixation in single segment thoracolumbar fracture without neurological symptoms 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<<strong<Objective</strong< To discuss the clinical effects of minimally invasive percutaneous pedicle screw fixation in the treatment of single segment thoracolumbar fracture without neurological symptoms. <strong<Methods</strong< From June 2012 to October 2014, 38 neurologically intact patients with thoracolumbar fracture underwent surgeries, including open pedicle screw fixation in 16 cases and percutaneous pedicle screw fixation in 22 cases. The incision length, operation time, intraoperative blood loss, postoperative drainage and postoperative complication were recorded and compared between 2 groups. Thoracolumbar orthophoric, lateral and flexion-extension X-ray was used to measure sagittal Cobb angle and height of injured anterior vertebral body before and after operation. Modified Macnab evaluation was used to assess the curative effects 3 months after operation. <strong<Results</strong< The success rate of operations in 38 patients was 100%. There were a total of 114 vertebral bodies fused and 228 pedicle screws implanted. Patients in the percutaneous pedicle screw group had smaller incision length [(10.55 ± 1.23) cm vs (18.50 ± 2.50) cm, <em<P</em< = 0.000], less intraoperative blood loss [(32.55 ± 7.22) ml vs (320.50 ± 15.48) ml,<em< P</em< = 0.000], shorter hospital stay [(6.55 ± 1.50) d vs (13.50 ± 2.52) d, <em<P</em< = 0.000], and without postoperative drainage. The follow-up after operation ranged from 3 to 6 months, with the average time of (4.65 ± 1.24) months. Cobb angle was reduced (<em<P</em< = 0.000) and height of injured anterior vertebral body were improved signifcantly (<em<P</em< = 0.000) 3 months after surgery in both groups. The total effective rate was 14/16 in open surgery group, and 86.36% (19/22) in percutaneous pedicle screw group, however, the difference between 2 groups was not significant (<em<P</em< = 1.000). <strong<Conclusions</strong< Minimally invasive percutaneous pedicle screw fixation is a surgical method with less iatrogenic injury, less intraoperative blood loss and quick recovery for patients with thoracolumbar fracture. The short-term effect of percutaneous surgery is similar to open surgery, however, its long-term effect remains to be further studied.</p<<p< </p<<p<<strong<DOI: </strong<10.3969/j.issn.1672-6731.2016.03.004</p< Spinal fractures Thoracic vertebrae Lumbar vertebrae Internal fixation (not in MeSH) Surgical procedures, minimally invasive Neurology. Diseases of the nervous system Hai-long FENG verfasserin aut Dong-dong ZHAO verfasserin aut In Chinese Journal of Contemporary Neurology and Neurosurgery Tianjin Huanhu Hospital, 2013 16(2016), 3, Seite 130-135 (DE-627)741171848 (DE-600)2710763-2 16726731 nnns volume:16 year:2016 number:3 pages:130-135 https://doaj.org/article/73a5025f88424b48a9395ce36cf80224 kostenfrei http://www.cjcnn.org/index.php/cjcnn/article/view/1366 kostenfrei https://doaj.org/toc/1672-6731 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2016 3 130-135
language	English Chinese
source	In Chinese Journal of Contemporary Neurology and Neurosurgery 16(2016), 3, Seite 130-135 volume:16 year:2016 number:3 pages:130-135
sourceStr	In Chinese Journal of Contemporary Neurology and Neurosurgery 16(2016), 3, Seite 130-135 volume:16 year:2016 number:3 pages:130-135
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Spinal fractures Thoracic vertebrae Lumbar vertebrae Internal fixation (not in MeSH) Surgical procedures, minimally invasive Neurology. Diseases of the nervous system
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container_title	Chinese Journal of Contemporary Neurology and Neurosurgery
authorswithroles_txt_mv	Jin-ping LIU @@aut@@ Hai-long FENG @@aut@@ Dong-dong ZHAO @@aut@@
publishDateDaySort_date	2016-01-01T00:00:00Z
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The incision length, operation time, intraoperative blood loss, postoperative drainage and postoperative complication were recorded and compared between 2 groups. Thoracolumbar orthophoric, lateral and flexion-extension X-ray was used to measure sagittal Cobb angle and height of injured anterior vertebral body before and after operation. Modified Macnab evaluation was used to assess the curative effects 3 months after operation. <strong<Results</strong< The success rate of operations in 38 patients was 100%. There were a total of 114 vertebral bodies fused and 228 pedicle screws implanted. Patients in the percutaneous pedicle screw group had smaller incision length [(10.55 ± 1.23) cm vs (18.50 ± 2.50) cm, <em<P</em< = 0.000], less intraoperative blood loss [(32.55 ± 7.22) ml vs (320.50 ± 15.48) ml,<em< P</em< = 0.000], shorter hospital stay [(6.55 ± 1.50) d vs (13.50 ± 2.52) d, <em<P</em< = 0.000], and without postoperative drainage. The follow-up after operation ranged from 3 to 6 months, with the average time of (4.65 ± 1.24) months. Cobb angle was reduced (<em<P</em< = 0.000) and height of injured anterior vertebral body were improved signifcantly (<em<P</em< = 0.000) 3 months after surgery in both groups. The total effective rate was 14/16 in open surgery group, and 86.36% (19/22) in percutaneous pedicle screw group, however, the difference between 2 groups was not significant (<em<P</em< = 1.000). <strong<Conclusions</strong< Minimally invasive percutaneous pedicle screw fixation is a surgical method with less iatrogenic injury, less intraoperative blood loss and quick recovery for patients with thoracolumbar fracture. 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topic_title	RC346-429 Clinical study on the application of minimally invasive percutaneous pedicle screw fixation in single segment thoracolumbar fracture without neurological symptoms Spinal fractures Thoracic vertebrae Lumbar vertebrae Internal fixation (not in MeSH) Surgical procedures, minimally invasive
topic	misc RC346-429 misc Spinal fractures misc Thoracic vertebrae misc Lumbar vertebrae misc Internal fixation (not in MeSH) misc Surgical procedures, minimally invasive misc Neurology. Diseases of the nervous system
topic_unstemmed	misc RC346-429 misc Spinal fractures misc Thoracic vertebrae misc Lumbar vertebrae misc Internal fixation (not in MeSH) misc Surgical procedures, minimally invasive misc Neurology. Diseases of the nervous system
topic_browse	misc RC346-429 misc Spinal fractures misc Thoracic vertebrae misc Lumbar vertebrae misc Internal fixation (not in MeSH) misc Surgical procedures, minimally invasive misc Neurology. Diseases of the nervous system
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title	Clinical study on the application of minimally invasive percutaneous pedicle screw fixation in single segment thoracolumbar fracture without neurological symptoms
ctrlnum	(DE-627)DOAJ068274092 (DE-599)DOAJ73a5025f88424b48a9395ce36cf80224
title_full	Clinical study on the application of minimally invasive percutaneous pedicle screw fixation in single segment thoracolumbar fracture without neurological symptoms
author_sort	Jin-ping LIU
journal	Chinese Journal of Contemporary Neurology and Neurosurgery
journalStr	Chinese Journal of Contemporary Neurology and Neurosurgery
callnumber-first-code	R
lang_code	eng chi
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container_start_page	130
author_browse	Jin-ping LIU Hai-long FENG Dong-dong ZHAO
container_volume	16
class	RC346-429
format_se	Elektronische Aufsätze
author-letter	Jin-ping LIU
author2-role	verfasserin
title_sort	clinical study on the application of minimally invasive percutaneous pedicle screw fixation in single segment thoracolumbar fracture without neurological symptoms
callnumber	RC346-429
title_auth	Clinical study on the application of minimally invasive percutaneous pedicle screw fixation in single segment thoracolumbar fracture without neurological symptoms
abstract	<p<<strong<Objective</strong< To discuss the clinical effects of minimally invasive percutaneous pedicle screw fixation in the treatment of single segment thoracolumbar fracture without neurological symptoms. <strong<Methods</strong< From June 2012 to October 2014, 38 neurologically intact patients with thoracolumbar fracture underwent surgeries, including open pedicle screw fixation in 16 cases and percutaneous pedicle screw fixation in 22 cases. The incision length, operation time, intraoperative blood loss, postoperative drainage and postoperative complication were recorded and compared between 2 groups. Thoracolumbar orthophoric, lateral and flexion-extension X-ray was used to measure sagittal Cobb angle and height of injured anterior vertebral body before and after operation. Modified Macnab evaluation was used to assess the curative effects 3 months after operation. <strong<Results</strong< The success rate of operations in 38 patients was 100%. There were a total of 114 vertebral bodies fused and 228 pedicle screws implanted. Patients in the percutaneous pedicle screw group had smaller incision length [(10.55 ± 1.23) cm vs (18.50 ± 2.50) cm, <em<P</em< = 0.000], less intraoperative blood loss [(32.55 ± 7.22) ml vs (320.50 ± 15.48) ml,<em< P</em< = 0.000], shorter hospital stay [(6.55 ± 1.50) d vs (13.50 ± 2.52) d, <em<P</em< = 0.000], and without postoperative drainage. The follow-up after operation ranged from 3 to 6 months, with the average time of (4.65 ± 1.24) months. Cobb angle was reduced (<em<P</em< = 0.000) and height of injured anterior vertebral body were improved signifcantly (<em<P</em< = 0.000) 3 months after surgery in both groups. The total effective rate was 14/16 in open surgery group, and 86.36% (19/22) in percutaneous pedicle screw group, however, the difference between 2 groups was not significant (<em<P</em< = 1.000). <strong<Conclusions</strong< Minimally invasive percutaneous pedicle screw fixation is a surgical method with less iatrogenic injury, less intraoperative blood loss and quick recovery for patients with thoracolumbar fracture. The short-term effect of percutaneous surgery is similar to open surgery, however, its long-term effect remains to be further studied.</p<<p< </p<<p<<strong<DOI: </strong<10.3969/j.issn.1672-6731.2016.03.004</p<
abstractGer	<p<<strong<Objective</strong< To discuss the clinical effects of minimally invasive percutaneous pedicle screw fixation in the treatment of single segment thoracolumbar fracture without neurological symptoms. <strong<Methods</strong< From June 2012 to October 2014, 38 neurologically intact patients with thoracolumbar fracture underwent surgeries, including open pedicle screw fixation in 16 cases and percutaneous pedicle screw fixation in 22 cases. The incision length, operation time, intraoperative blood loss, postoperative drainage and postoperative complication were recorded and compared between 2 groups. Thoracolumbar orthophoric, lateral and flexion-extension X-ray was used to measure sagittal Cobb angle and height of injured anterior vertebral body before and after operation. Modified Macnab evaluation was used to assess the curative effects 3 months after operation. <strong<Results</strong< The success rate of operations in 38 patients was 100%. There were a total of 114 vertebral bodies fused and 228 pedicle screws implanted. Patients in the percutaneous pedicle screw group had smaller incision length [(10.55 ± 1.23) cm vs (18.50 ± 2.50) cm, <em<P</em< = 0.000], less intraoperative blood loss [(32.55 ± 7.22) ml vs (320.50 ± 15.48) ml,<em< P</em< = 0.000], shorter hospital stay [(6.55 ± 1.50) d vs (13.50 ± 2.52) d, <em<P</em< = 0.000], and without postoperative drainage. The follow-up after operation ranged from 3 to 6 months, with the average time of (4.65 ± 1.24) months. Cobb angle was reduced (<em<P</em< = 0.000) and height of injured anterior vertebral body were improved signifcantly (<em<P</em< = 0.000) 3 months after surgery in both groups. The total effective rate was 14/16 in open surgery group, and 86.36% (19/22) in percutaneous pedicle screw group, however, the difference between 2 groups was not significant (<em<P</em< = 1.000). <strong<Conclusions</strong< Minimally invasive percutaneous pedicle screw fixation is a surgical method with less iatrogenic injury, less intraoperative blood loss and quick recovery for patients with thoracolumbar fracture. The short-term effect of percutaneous surgery is similar to open surgery, however, its long-term effect remains to be further studied.</p<<p< </p<<p<<strong<DOI: </strong<10.3969/j.issn.1672-6731.2016.03.004</p<
abstract_unstemmed	<p<<strong<Objective</strong< To discuss the clinical effects of minimally invasive percutaneous pedicle screw fixation in the treatment of single segment thoracolumbar fracture without neurological symptoms. <strong<Methods</strong< From June 2012 to October 2014, 38 neurologically intact patients with thoracolumbar fracture underwent surgeries, including open pedicle screw fixation in 16 cases and percutaneous pedicle screw fixation in 22 cases. The incision length, operation time, intraoperative blood loss, postoperative drainage and postoperative complication were recorded and compared between 2 groups. Thoracolumbar orthophoric, lateral and flexion-extension X-ray was used to measure sagittal Cobb angle and height of injured anterior vertebral body before and after operation. Modified Macnab evaluation was used to assess the curative effects 3 months after operation. <strong<Results</strong< The success rate of operations in 38 patients was 100%. There were a total of 114 vertebral bodies fused and 228 pedicle screws implanted. Patients in the percutaneous pedicle screw group had smaller incision length [(10.55 ± 1.23) cm vs (18.50 ± 2.50) cm, <em<P</em< = 0.000], less intraoperative blood loss [(32.55 ± 7.22) ml vs (320.50 ± 15.48) ml,<em< P</em< = 0.000], shorter hospital stay [(6.55 ± 1.50) d vs (13.50 ± 2.52) d, <em<P</em< = 0.000], and without postoperative drainage. The follow-up after operation ranged from 3 to 6 months, with the average time of (4.65 ± 1.24) months. Cobb angle was reduced (<em<P</em< = 0.000) and height of injured anterior vertebral body were improved signifcantly (<em<P</em< = 0.000) 3 months after surgery in both groups. The total effective rate was 14/16 in open surgery group, and 86.36% (19/22) in percutaneous pedicle screw group, however, the difference between 2 groups was not significant (<em<P</em< = 1.000). <strong<Conclusions</strong< Minimally invasive percutaneous pedicle screw fixation is a surgical method with less iatrogenic injury, less intraoperative blood loss and quick recovery for patients with thoracolumbar fracture. The short-term effect of percutaneous surgery is similar to open surgery, however, its long-term effect remains to be further studied.</p<<p< </p<<p<<strong<DOI: </strong<10.3969/j.issn.1672-6731.2016.03.004</p<
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title_short	Clinical study on the application of minimally invasive percutaneous pedicle screw fixation in single segment thoracolumbar fracture without neurological symptoms
url	https://doaj.org/article/73a5025f88424b48a9395ce36cf80224 http://www.cjcnn.org/index.php/cjcnn/article/view/1366 https://doaj.org/toc/1672-6731
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author2	Hai-long FENG Dong-dong ZHAO
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up_date	2024-07-03T16:50:25.284Z
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