Short- and Mid-term Effects of Domestic Minimally-invasive Percutaneous Screw System for the Treatment of Thoracolumbar Fractures_West China Medical Journal

Authors：

 GOUYong-sheng , LIHai-bo

Department of Orthopedics, the First People's Hospital of Shuangliu County, Chengdu, Sichuan 610200, P. R. China;

Corresponding author：

Keywords：

Thoracolumbar fractures; Domestic; Hollow pedicle screw system; Minimally invasive; Internal fixation

DOI：

10.7507/1002-0179.20150189

Video：

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Objective To evaluate the clinical efficacy of domestic minimally-invasive percutaneous screw system for thoracolumbar fractures without neurological damage. Methods Sixty patients suffering from unstable thoracolumbar fractures without obvious neurologic deficits treated from January 2011 to April 2012 were studied retrospectively. The patients were divided into two groups:group A (domestic minimally-invasive percutaneous screw system) and group B (imported minimally-invasive percutaneous screw system). Perioperative parameter, pre-and post-operative imaging indexes, visual analog scale (VAS) and modified MacNab evaluation standard were studied for comparison. Results All the patients were followed up from 6 to 18 months with an average of (12.2±3.0) months. The Cobb's angle and anterior height of the fracture vertebral body changed significantly in each group (P<0.05). There was no significant difference in incision size, surgical time, postoperative improvement of Cobb's angle, anterior height of the fracture vertebral body and accuracy of pedicle screw placement between the two groups (P>0.05). Conclusion Domestic minimally-invasive percutaneous screw system is reliable with minimal invasion, which is comparable to imported minimally-invasive percutaneous screw system.

Citation： GOUYong-sheng, LIHai-bo. Short- and Mid-term Effects of Domestic Minimally-invasive Percutaneous Screw System for the Treatment of Thoracolumbar Fractures. West China Medical Journal, 2015, 30(4): 652-655. doi: 10.7507/1002-0179.20150189 Copy

1.	Wild MH, Gless M, Plieschnegger C, et al. Five-year follow-up examination after purely minimally invasive posterior stabilization of thoracolumbar fractures:a comparison of minimally invasive percutaneously and conventionally open treated patients[J]. Arch Orthop Trauma Surg, 2007, 127(5):335-343.
2.	Ni WF, Huang YX, Chi YL, et al. Percutaneous pedicle screw fixation for neurologic intact thoracolumbar burst fractures[J]. J Spinal Disord Tech, 2010, 23(8):530-537.
3.	罗鹏刚, 熊浩, 赖茂松. 微创经皮与传统开放椎弓根螺钉内固定治疗胸腰椎[J]. 中国现代医生, 2014, 52(9):11-14.
4.	廖洪溢. 微创经皮长尾定向椎弓根钉内固定术治疗胸腰椎骨折的分析[J]. 中国医药指南, 2014, 12(8):109.
5.	梅伟, 王春丽, 王庆德. 微创经皮椎弓根螺钉内固定治疗胸腰椎骨折[J]. 中国实用医刊, 2013, 40(20):103-104.
6.	蔺福辉, 易小波, 任志宏, 等. 手法复位经皮椎弓根内固定术在胸腰椎骨折中的应用[J]. 中国骨与关节损伤杂志, 2008, 23(4):314-315.
7.	Rao G, Brodke DS, Rondina M, et al. Comparison of computerized tomography and direct visualization in thoracic pedicle screw placement[J]. J Neurosurg, 2002, 97(2 Suppl):223-226.
8.	Bruno AG, Anderson DE, D'Agostino J, et al. The effect of thoracic kyphosis and sagittal plane alignment on vertebral compressive loading[J]. J Bone Miner Res, 2012, 27(10):2144-2151.
9.	杨雷, 李家顺, 贾连顺, 等. 经皮椎弓根螺钉技术的解剖学基础及其临床意义[J]. 中国临床解剖学杂志, 2004, 22(1):58-59, 62.
10.	李驰, 徐华梓, 王向阳, 等. 经皮与开放椎弓根螺钉内固定治疗胸腰椎骨折对椎旁肌影响的比较[J]. 中华外科杂志, 2007, 45(14):972-975.
11.	王春, 林永绥, 刘清平, 等. 经皮长尾可折U形空心椎弓根钉系统固定治疗胸腰椎骨折的疗效评估[J]. 中国脊柱脊髓杂志, 2012, 22(7):627-633.
12.	余波, 李世芳, 周道政. 经皮椎弓根螺钉内固定治疗胸腰椎骨折疗效观察[J]. 临床骨科杂志, 2013, 16(4):384-386.
13.	武明鑫, 邹菁, 张志文, 等. 微创脊柱内固定系统治疗无神经损伤胸腰椎骨折的临床疗效分析[J]. 创伤外科杂志, 2013, 15(4):364-364, 374.
14.	罗春山, 李波, 田晓滨, 等. 经皮与开放手术治疗胸腰椎骨折的比较研究[J]. 中国矫形外科杂志, 2009, 17(22):1692-1694.
15.	水小龙, 徐华梓, 池永龙, 等. 微创技术在不同类型胸腰段骨折中的应用[J]. 中华外科杂志, 2011, 49(12):1086-1090.
16.	周成文, 牟永山, 马惠章, 等. 微创经皮椎弓根钉固定治疗胸腰椎压缩性骨折[J]. 实用骨科杂志, 2011, 17(11):1023-1025.
17.	王洪伟, 李长青, 周跃, 等. 微创与传统开放附加伤椎经椎弓根螺钉内固定手术治疗胸腰椎骨折的疗效比较[J]. 中国脊柱脊髓杂志, 2010, 20(2):112-116.
18.	严雪港, 姜跃国, 桂剑英, 等. 微创经皮椎弓根螺钉内固定治疗腰椎骨折伴骨质疏松失败一例分析[J]. 中国全科医学, 2013, 16(2):224-225.

1. Wild MH, Gless M, Plieschnegger C, et al. Five-year follow-up examination after purely minimally invasive posterior stabilization of thoracolumbar fractures:a comparison of minimally invasive percutaneously and conventionally open treated patients[J]. Arch Orthop Trauma Surg, 2007, 127(5):335-343.
2. Ni WF, Huang YX, Chi YL, et al. Percutaneous pedicle screw fixation for neurologic intact thoracolumbar burst fractures[J]. J Spinal Disord Tech, 2010, 23(8):530-537.
3. 罗鹏刚, 熊浩, 赖茂松. 微创经皮与传统开放椎弓根螺钉内固定治疗胸腰椎[J]. 中国现代医生, 2014, 52(9):11-14.
4. 廖洪溢. 微创经皮长尾定向椎弓根钉内固定术治疗胸腰椎骨折的分析[J]. 中国医药指南, 2014, 12(8):109.
5. 梅伟, 王春丽, 王庆德. 微创经皮椎弓根螺钉内固定治疗胸腰椎骨折[J]. 中国实用医刊, 2013, 40(20):103-104.
6. 蔺福辉, 易小波, 任志宏, 等. 手法复位经皮椎弓根内固定术在胸腰椎骨折中的应用[J]. 中国骨与关节损伤杂志, 2008, 23(4):314-315.
7. Rao G, Brodke DS, Rondina M, et al. Comparison of computerized tomography and direct visualization in thoracic pedicle screw placement[J]. J Neurosurg, 2002, 97(2 Suppl):223-226.
8. Bruno AG, Anderson DE, D'Agostino J, et al. The effect of thoracic kyphosis and sagittal plane alignment on vertebral compressive loading[J]. J Bone Miner Res, 2012, 27(10):2144-2151.
9. 杨雷, 李家顺, 贾连顺, 等. 经皮椎弓根螺钉技术的解剖学基础及其临床意义[J]. 中国临床解剖学杂志, 2004, 22(1):58-59, 62.
10. 李驰, 徐华梓, 王向阳, 等. 经皮与开放椎弓根螺钉内固定治疗胸腰椎骨折对椎旁肌影响的比较[J]. 中华外科杂志, 2007, 45(14):972-975.
11. 王春, 林永绥, 刘清平, 等. 经皮长尾可折U形空心椎弓根钉系统固定治疗胸腰椎骨折的疗效评估[J]. 中国脊柱脊髓杂志, 2012, 22(7):627-633.
12. 余波, 李世芳, 周道政. 经皮椎弓根螺钉内固定治疗胸腰椎骨折疗效观察[J]. 临床骨科杂志, 2013, 16(4):384-386.
13. 武明鑫, 邹菁, 张志文, 等. 微创脊柱内固定系统治疗无神经损伤胸腰椎骨折的临床疗效分析[J]. 创伤外科杂志, 2013, 15(4):364-364, 374.
14. 罗春山, 李波, 田晓滨, 等. 经皮与开放手术治疗胸腰椎骨折的比较研究[J]. 中国矫形外科杂志, 2009, 17(22):1692-1694.
15. 水小龙, 徐华梓, 池永龙, 等. 微创技术在不同类型胸腰段骨折中的应用[J]. 中华外科杂志, 2011, 49(12):1086-1090.
16. 周成文, 牟永山, 马惠章, 等. 微创经皮椎弓根钉固定治疗胸腰椎压缩性骨折[J]. 实用骨科杂志, 2011, 17(11):1023-1025.
17. 王洪伟, 李长青, 周跃, 等. 微创与传统开放附加伤椎经椎弓根螺钉内固定手术治疗胸腰椎骨折的疗效比较[J]. 中国脊柱脊髓杂志, 2010, 20(2):112-116.
18. 严雪港, 姜跃国, 桂剑英, 等. 微创经皮椎弓根螺钉内固定治疗腰椎骨折伴骨质疏松失败一例分析[J]. 中国全科医学, 2013, 16(2):224-225.

West China Medical Journal

Short- and Mid-term Effects of Domestic Minimally-invasive Percutaneous Screw System for the Treatment of Thoracolumbar Fractures

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