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Article

Efficacy analysis of pedicle screw internal fixation of fractured vertebrae in the treatment of thoracolumbar fractures

  • Authors:
    • Weijie Huang
    • Tao Luo
  • View Affiliations / Copyright

    Affiliations: Department of Orthopedics, Shanghai Punan Hospital of Pudong New Area, Shanghai 200125, P.R. China
  • Pages: 678-682
    |
    Published online on: January 21, 2013
       https://doi.org/10.3892/etm.2013.914
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Abstract

The present study aimed to discuss the method and effect of posterior internal fixation of thoracolumbar fractures strengthened by the vertical stress pedicle screw fixation of fractured vertebrae. Patients with single thoracolumbar fractures were examined retrospectively. Fourteen patients (group A) had been treated with vertical stress pedicle screw fixation of a fractured vertebra and sixteen patients (group B) received traditional double-plate fixation, as a control. All patients were diagnosed with fresh fractures with a complete unilateral or bilateral pedicle and no explosion of the inferior half of the vertebral body or inferior endplate. In group A, patients received conventional posterior distraction and lumbar lordosis restoration, as well as pedicle screws in the fractured vertebra in a vertical direction to relieve stress to achieve a local stress balance. All patients were followed up postoperatively for 4-18 months (average, 12.6 months). The vertical stress pedicle screw fixation assisted in the reduction of vertebrae fracture, which reduced the postoperative Cobb's angle loss. There was a significant difference in the change of Cobb's angle between the two groups one year after surgery (P<0.01). Conditional application of pedicle screws in a single thoracolumbar fracture enhances the stability of the internal fixation system and is conducive to the correction of kyphosis and maintenance of the corrective effects.
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Copy and paste a formatted citation
Spandidos Publications style
Huang W and Luo T: Efficacy analysis of pedicle screw internal fixation of fractured vertebrae in the treatment of thoracolumbar fractures. Exp Ther Med 5: 678-682, 2013.
APA
Huang, W., & Luo, T. (2013). Efficacy analysis of pedicle screw internal fixation of fractured vertebrae in the treatment of thoracolumbar fractures. Experimental and Therapeutic Medicine, 5, 678-682. https://doi.org/10.3892/etm.2013.914
MLA
Huang, W., Luo, T."Efficacy analysis of pedicle screw internal fixation of fractured vertebrae in the treatment of thoracolumbar fractures". Experimental and Therapeutic Medicine 5.3 (2013): 678-682.
Chicago
Huang, W., Luo, T."Efficacy analysis of pedicle screw internal fixation of fractured vertebrae in the treatment of thoracolumbar fractures". Experimental and Therapeutic Medicine 5, no. 3 (2013): 678-682. https://doi.org/10.3892/etm.2013.914
Copy and paste a formatted citation
x
Spandidos Publications style
Huang W and Luo T: Efficacy analysis of pedicle screw internal fixation of fractured vertebrae in the treatment of thoracolumbar fractures. Exp Ther Med 5: 678-682, 2013.
APA
Huang, W., & Luo, T. (2013). Efficacy analysis of pedicle screw internal fixation of fractured vertebrae in the treatment of thoracolumbar fractures. Experimental and Therapeutic Medicine, 5, 678-682. https://doi.org/10.3892/etm.2013.914
MLA
Huang, W., Luo, T."Efficacy analysis of pedicle screw internal fixation of fractured vertebrae in the treatment of thoracolumbar fractures". Experimental and Therapeutic Medicine 5.3 (2013): 678-682.
Chicago
Huang, W., Luo, T."Efficacy analysis of pedicle screw internal fixation of fractured vertebrae in the treatment of thoracolumbar fractures". Experimental and Therapeutic Medicine 5, no. 3 (2013): 678-682. https://doi.org/10.3892/etm.2013.914
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