The Comparison Of Paraspinal Approach And Traditional Open Approach Treatment For Thoracolumbar Fractures With Fixation Using Pedicle Screw

Objectives: To assess the surgical therapeutic result of thoracolumbarfracture by pedicle screw fixation through paraspinal approach ortraditional open approach.Methods:87thoracolumbar fracture patients were divided into twogroups：40cases were included in the paraspinal approach group and47cases were in the traditional open approach group. The perioperative indexand postoperative VAS score was compared.Results: There were significant differences in the surgical time，surgical blood loss, dead space size, surgical draining loss and VAS scorebetween the two groups.The efficacy of the two surgical approach are thesame.Conclusions: The treatment for thoracolumbar fractures throughparaspinal approach can cut down the stripping of the paraspinal muscle, sothis method can reduce dead space size, surgical draining loss and lumbagoand back pain.