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.	羅鵬剛, 熊浩, 賴茂松. 微創經皮與傳統開放椎弓根螺釘內固定治療胸腰椎[J]. 中國現代醫生, 2014, 52(9):11-14.
4.	廖洪溢. 微創經皮長尾定向椎弓根釘內固定術治療胸腰椎骨折的分析[J]. 中國醫藥指南, 2014, 12(8):109.
5.	梅偉, 王春麗, 王慶德. 微創經皮椎弓根螺釘內固定治療胸腰椎骨折[J]. 中國實用醫刊, 2013, 40(20):103-104.
6.	藺福輝, 易小波, 任志宏, 等. 手法復位經皮椎弓根內固定術在胸腰椎骨折中的應用[J]. 中國骨與關節損傷雜志, 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.	楊雷, 李家順, 賈連順, 等. 經皮椎弓根螺釘技術的解剖學基礎及其臨床意義[J]. 中國臨床解剖學雜志, 2004, 22(1):58-59, 62.
10.	李馳, 徐華梓, 王向陽, 等. 經皮與開放椎弓根螺釘內固定治療胸腰椎骨折對椎旁肌影響的比較[J]. 中華外科雜志, 2007, 45(14):972-975.
11.	王春, 林永綏, 劉清平, 等. 經皮長尾可折U形空心椎弓根釘系統固定治療胸腰椎骨折的療效評估[J]. 中國脊柱脊髓雜志, 2012, 22(7):627-633.
12.	余波, 李世芳, 周道政. 經皮椎弓根螺釘內固定治療胸腰椎骨折療效觀察[J]. 臨床骨科雜志, 2013, 16(4):384-386.
13.	武明鑫, 鄒菁, 張志文, 等. 微創脊柱內固定系統治療無神經損傷胸腰椎骨折的臨床療效分析[J]. 創傷外科雜志, 2013, 15(4):364-364, 374.
14.	羅春山, 李波, 田曉濱, 等. 經皮與開放手術治療胸腰椎骨折的比較研究[J]. 中國矯形外科雜志, 2009, 17(22):1692-1694.
15.	水小龍, 徐華梓, 池永龍, 等. 微創技術在不同類型胸腰段骨折中的應用[J]. 中華外科雜志, 2011, 49(12):1086-1090.
16.	周成文, 牟永山, 馬惠章, 等. 微創經皮椎弓根釘固定治療胸腰椎壓縮性骨折[J]. 實用骨科雜志, 2011, 17(11):1023-1025.
17.	王洪偉, 李長青, 周躍, 等. 微創與傳統開放附加傷椎經椎弓根螺釘內固定手術治療胸腰椎骨折的療效比較[J]. 中國脊柱脊髓雜志, 2010, 20(2):112-116.
18.	嚴雪港, 姜躍國, 桂劍英, 等. 微創經皮椎弓根螺釘內固定治療腰椎骨折伴骨質疏松失敗一例分析[J]. 中國全科醫學, 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. 羅鵬剛, 熊浩, 賴茂松. 微創經皮與傳統開放椎弓根螺釘內固定治療胸腰椎[J]. 中國現代醫生, 2014, 52(9):11-14.
4. 廖洪溢. 微創經皮長尾定向椎弓根釘內固定術治療胸腰椎骨折的分析[J]. 中國醫藥指南, 2014, 12(8):109.
5. 梅偉, 王春麗, 王慶德. 微創經皮椎弓根螺釘內固定治療胸腰椎骨折[J]. 中國實用醫刊, 2013, 40(20):103-104.
6. 藺福輝, 易小波, 任志宏, 等. 手法復位經皮椎弓根內固定術在胸腰椎骨折中的應用[J]. 中國骨與關節損傷雜志, 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. 楊雷, 李家順, 賈連順, 等. 經皮椎弓根螺釘技術的解剖學基礎及其臨床意義[J]. 中國臨床解剖學雜志, 2004, 22(1):58-59, 62.
10. 李馳, 徐華梓, 王向陽, 等. 經皮與開放椎弓根螺釘內固定治療胸腰椎骨折對椎旁肌影響的比較[J]. 中華外科雜志, 2007, 45(14):972-975.
11. 王春, 林永綏, 劉清平, 等. 經皮長尾可折U形空心椎弓根釘系統固定治療胸腰椎骨折的療效評估[J]. 中國脊柱脊髓雜志, 2012, 22(7):627-633.
12. 余波, 李世芳, 周道政. 經皮椎弓根螺釘內固定治療胸腰椎骨折療效觀察[J]. 臨床骨科雜志, 2013, 16(4):384-386.
13. 武明鑫, 鄒菁, 張志文, 等. 微創脊柱內固定系統治療無神經損傷胸腰椎骨折的臨床療效分析[J]. 創傷外科雜志, 2013, 15(4):364-364, 374.
14. 羅春山, 李波, 田曉濱, 等. 經皮與開放手術治療胸腰椎骨折的比較研究[J]. 中國矯形外科雜志, 2009, 17(22):1692-1694.
15. 水小龍, 徐華梓, 池永龍, 等. 微創技術在不同類型胸腰段骨折中的應用[J]. 中華外科雜志, 2011, 49(12):1086-1090.
16. 周成文, 牟永山, 馬惠章, 等. 微創經皮椎弓根釘固定治療胸腰椎壓縮性骨折[J]. 實用骨科雜志, 2011, 17(11):1023-1025.
17. 王洪偉, 李長青, 周躍, 等. 微創與傳統開放附加傷椎經椎弓根螺釘內固定手術治療胸腰椎骨折的療效比較[J]. 中國脊柱脊髓雜志, 2010, 20(2):112-116.
18. 嚴雪港, 姜躍國, 桂劍英, 等. 微創經皮椎弓根螺釘內固定治療腰椎骨折伴骨質疏松失敗一例分析[J]. 中國全科醫學, 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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