The clinical efficacy comparision between percutaneous pedicle fixation and open reduction internal fixation in the treatment of thoracolumbar fractures

Objective:To compare the clinical efficacy between percutaneous pedicle fixation and open reduction internal fixation in the treatment of thoracolumbar fractures.Methods:Fifty thoracolumbar fractures patients treated with percutaneous pedicle fixation and 40 thoracolumbar fractures patients treated with open reduction internal fixation were divided into the micro-invasive group and posterior group,respectively.The operation situation,change of imaging index and postoperative pain between two groups were compared.Results:The average intraoperative blood loss and hospital stay in micro-invasive group(36.17±6.72)mL and (10.28±1.37)d were less than those in posterior group(387.13 ±104.39)mL and (13.86±2.51)d,respectively(P<0.01).The VAS scores in micro-invasive group after 2 weeks,3 weeks and 6 months of operation were lower than those in posterior group(P<0.01).The differences of the vertebral frontal height and convex Cobb's angle between two groups before operaton,after operation,postoperative 3 months and postoperative 1 year were not statistically significant(P>0.05).Conclusions:The percutaneous pedicle fixation in treating the thoracolumbar fractures can effectively stabilize the injured vertebrae,shorten hospitalization time,effectively relieve the suffering of the patients with postoperative functional exercise.