经肌间隙微创内固定术与传统椎弓根螺钉内固定术治疗胸腰椎骨折的疗效比较

Objective: To compare the clinical effect of efficacy of minimally invasive stabilization through intermuscular approach and percutaneous pedicle screw fixation in the treatment of thoracolumbar fractures. Methods: 120 cases with thoracolumbar fractures who were treated in our hospital from January 2010 to December 2014 were selected and randomly divided into the minimally invasive group and the open surgery group. Then the operation time, blood loss, hospitalization and postoperative recovery of the two groups were observed and compared. Results: There was no statistically significant differences in the operation time between the two groups (P>0.05). Compared with the open surgery group, the operation time and hospitalization of the minimally invasive group were shorter (P<0.05). Compared with before treatment, the Cobb angle and the vertebral height of patients in both groups were better after the operation (P<0.05); There was no statistically significant differences in the Cobb angle and the vertebral height between the two groups (P>0.05). Compared with before treatment, the JOA scores in both groups after the operation were reduced (P<0.05), but there was no statistically significant differences in the JOA score between the two groups (P>0.05). Conclusion: Minimally invasive stabilization through intermuscular approach and percutaneous pedicle screw fixation could both better fix the thoracolumbar fractures, and the minimally invasive stabilization through intermuscular approach was better with less trauma and blood loss, faster recovery and short hospitalization, which was worth of clinical application. [ABSTRACT FROM AUTHOR]