Clinical Research On The Treatment Of Fresh Compression Fractures Of Thoracolumbar By Manual Reduction

ObjectiveThrough comparison with the clinical results of the treatment of fresh compression fractures of thoracolumbar by Manual reduction and Non-surgicale method of ordinary, To evaluate the clinical outcomes of Manual reduction and give instuctions to further clinical practces,in order to using the Manual reduction more wider and more formal in clinical practces.MethodFiltrated the cases of fresh compression fractures of thoracolumbar hospitalized during March 2007 to August 2008,grouped the absorbed surgical cases at random,Manual reduction as group A;Non-surgicale method of ordinary as group B.There are 30 cases in each group.The group A was dealed with Manual reduction in earlier period,then keeping a Pillow about 10-12cm height under the fracture site for 6-8 weeks.keep on training by "3 point method","5 point method","flying swallow method" at the same time for 12 weeks.The other one was dealed with the same method escept Manual reduction.Recording the date of VAS,Vertebral height,Oswestry Dysfunction index before and after treatment,and getting result through comparing the date in Groups and group by Statistical methods.Result1.All cases were followed up.All numerical values of measurement data match to nonmal distribution,and all at equal variance.There was no significant stastiscal difference of age,gender,state of illness(P>0.05).2.The high recovery rate and the high rate of orthosis of group A was significantly Increaser than the other Group(P0.05).3.There was no significant stastiscal difference of VAS means between the two groups 12 weeks later comparing with just admission,and there was significant stastiscal difference between l week and just admission(P<0.05).4.ODI means has significant stastiscal difference between the two groups 12 weeks later comparing with just admission(P0.05),5.The lose rate of Vertebral height comparing 12 weeks later and just Manual reduction wasl5%±2.16%.Conclusion1.The effects of manual reduction are identical with those of non-surgicale method of ordinary in the treatment of fresh compression fractures of thoracolumbar.2.Much better recoverment,faster reliving short-term clinic symptom are achieved in the treatment with fresh compression fractures of thoracolumbar by Manual reduction,both method has similar effection in long-term clinic symptom.3.The lose rate of Vertebral height comparing 12 weeks later and just Manual reduction was 15%±2.16%,it means upright has affect in the lose rate of Vertebral height comparing.4.In this subject,the longest period of time for follow-up is 12 weeks.We can get approximately direct impression about short-term clinical effects of the two methods. However,their effects of long-term remained to be summarized by further outcome.