经皮椎弓根置钉与经Wiltse肌间隙入路治疗胸腰段脊椎骨折的疗效

doi:10.3969/j.issn.2095-378X.2023.03.004

Abstract

Abstract: Objective To compare the short-term effects of percutaneous pedicle screw placement and Wiltse intermuscular approach on thoracolumbar spinal fractures. Methods Sixty patients with thoracolumbar spinal fractures admitted from April 2021 to March 2023 were selected and divided into a control group and an observation group, with 30 patients in each group. The observation group patients were treated with percutaneous pedicle screw placement surgery, while the control group patients were treated with the Wiltse intermuscular approach surgery. The intraoperative bleeding volume, fluoroscopy frequency, surgical duration, and hospital stay of the two groups of patients were compared; the pain levels between the two groups at 12, 24, 48, 72 and 1 week after surgery were compared; the Cobb angle and anterior edge height of the injured vertebra between the two groups before, immediately after, and 6 months after surgery were compared; the spinal functions of two groups of patients at 6 months after surgery were compared. Results Among the clinical indicators, the observation group had more intraoperative bleeding than the control group; the intraoperative fluoroscopy frequency in the observation group was less than that in the control group; the surgical duration in the observation group was less than that in the control group; the hospitalization time in the observation group was shorter than that in the control group; the postoperative pain scores of patients in the observation group were better than those in the control group at all stages （P<0.05）; There was no statistically significant difference （P>0.05） in the Cobb angle and the height of the anterior edge of the injured vertebral body in each postoperative stage. There were no complications such as fixation loosening or wound infection of both groups of patients 6 months after surgery （P>0.05）. Conclusion In the operation of thoracolumbar spinal fracture, the use of percutaneous pedicle screws and Wiltse intermuscular approach play a good role in the recovery of patients. Wiltse intermuscular approach can shorten the operation time, reduce the number of fluoroscopy, hospital stay, and postoperative pain of patients, and control the amount of surgical bleeding.

Key words: Percutaneous pedicle screw placement, Wiltse intermuscular approach pedicle screw placement, Thoracolumbar spinal fractures

CLC Number:

R683

WENG Wenmin, GUO Jianbang, WANG Ren. A comparative study of percutaneous pedicle screw placement and Wiltse intermuscular approach for the treatment of thoracolumbar spinal fractures[J]. Surgical Research and New Technique, 2023, 12(3): 171-175.

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A comparative study of percutaneous pedicle screw placement and Wiltse intermuscular approach for the treatment of thoracolumbar spinal fractures

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