Comparative study of the clinical effect and safety of anterior surgical approach and posterior surgical approach in the treatment of thoracolumbar spinal fracture

• Authors: Zhang Dengfeng , Wu Haojie , Wang Xiao
• Languages of publication: EN

Abstracts

EN

The clinical effect and safety of the anterior surgical approach and posterior surgical approach in the treatment of thoracolumbar spinal fracture was compared. Retrospective analyses of clinical data for 91 patients observed from March 2010 to September 2014 were made. The pre-operation and post-operation comparisons between two sets of Cobb’s angle, affected vertebra height, Frankel’s classification of spinal nerves, motion functions, and tactile functions showed statistically significant differences (P<0.05). After having the operation, the Cobb’s angle and affected vertebra height of the patient in the anterior approach group were both significantly higher than that of patients in the posterior approach group (P<0.05). The bone graft fusion rate of the patients in the anterior approach group 3 months after operation was higher than that of patients in the control group while the status of complications was worse than that of patients in the posterior approach group, both with a remarkable difference (P<0.05). Both the anterior surgical approach and posterior surgical approach have good clinical outcome for spinal fractures but they all have their respective adaption diseases. The key in the treatment of thoracolumbar spinal fractures lies in choosing proper operative approach.

Keywords

EN

spinal fracture; spinal cord injury; thoracolumbar segment; operative approach

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2014
• Volume: 10
• Issue: 1

Dates

published

1 - 1 - 2015

accepted

15 - 10 - 2015

online

17 - 12 - 2015

received

30 - 6 - 2015

Contributors

author

Zhang Dengfeng

• Huaihe Hospital of Henan University, Kaifeng, Henan, 475000, China, Tel.: [phone]

author

Wu Haojie

• Huaihe Hospital of Henan University, Kaifeng, Henan, 475000, China

author

Wang Xiao

• Haojie, Huaihe Hospital of Henan University, Kaifeng, Henan, 475000, China

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Identifiers

DOI

10.1515/med-2015-0071