A new decompression technique for upper lumbar fracture with neurologic deficit-comparison with traditional open posterior surgery
| Autor: | Bangke Zhang, Fengjin Zhou, Liang Wang, Haibin Wang, Jiayao Jiang, Qunfeng Guo, Xuhua Lu |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | BMC Musculoskeletal Disorders, Vol 20, Iss 1, Pp 1-11 (2019) |
| Druh dokumentu: | article |
| ISSN: | 1471-2474 92459919 |
| DOI: | 10.1186/s12891-019-2897-1 |
| Popis: | Abstract Background Surgery is usually recommended for thoracolumbar fracture with neurologic deficit. However, traditional open posterior approach requires massive paraspinal muscles stripping, and the canal decompression may be limited and incomplete. We aimed to investigate a new approach via the Wiltse approach and the Kambin’s Triangle. Methods Twenty-one consecutive patients with traumatic upper lumbar fracture who received this new approach surgery between January 2015 and January 2016 constituted the new approach group. Twenty-nine patients received the traditional open posterior surgery between January 2014 and January 2015 were classified as the traditional posterior surgery group. Surgical informations including operative time, blood loss, drainage volume, hospitalization days were collected and compared among the two groups. The American Spinal Injury Association (ASIA) impairment scale and Visual Analog Score (VAS) were evaluated preoperatively, postoperatively and at 12 months follow-up. Results Patients in the new approach group had fewer operation time (128.3 ± 25.1 vs 151 ± 32.2 min, P = 0.01), less blood loss (243.8 ± 135.5 vs 437.8 ± 224.9 ml, P = 0.001) and drainage volume (70.7 ± 57.2 vs 271.7 ± 95.5 ml, P |
| Databáze: | Directory of Open Access Journals |
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