Retrospective Study On Treatment Of AF System Combined With Traditional Chinese Medicine For No Nerve Damage Type Thoracolumbar Burst Fracture

ObjectiveTo research and compare the clinical result of the two treatments including AF system combined with traditional Chinese medicine and AF system for no nerve damage type thoracolumbar burst fracture.MethodsA retrospective analysis is conducted to analysis the patients with no nerve damage type thoracolumbar burst fracture in the orthopaedic department of Hubei TCM hospital and PuAi hospital of Wuhan from June2009to June2011. According to the case of inclusion criteria,78cases were brought to this research.Then they were divided into two groups according to the different method of treatment:group A was used AF system combined with traditional Chinese medicine, group B was just used AF system.We compare the change of Cobb angle,height of anterior,posterior border of vertebral body at different time point, including pre-operative,3days after operation, after hardware removal and the clinical curative effect after hardware removal.Results1. The change of the height of anterior border of vertebral bodyIn group A,the height of anterior border of vertebral body Is48.2±5.9in pre-operative,98.1±1.1in3days after operation. The comparison of them has significant difference (p<0.01). The comparison of the height of anterior border of vertebral body between3days after operation and after hardware removal has no significant difference (P>0.05).In group B,the height of anterior border of vertebral body Is49.1±5.4in pre-operative,92.4±1.1in3days after operation. The comparison of them had significant difference (p<0.05). The comparison of the height of anterior border of vertebral body between3days after operation and after hardware removal has no significant difference (P>0.05).The height of anterior border of vertebral body of the two groups is well recovered.The comparison of the height of anterior border of vertebral body between group A and group B has significant difference (p<0.05). The treatment of group A is better.2. The change of the height of posterior border of vertebral bodyIn group A,the height of posterior border of vertebral body Is91.6±1.3, in pre-operative,99.0±0.6, in3days after operation. The comparison of them has significant difference (p <0.05). The comparison of the height of posterior border of vertebral body between3days after operation and after hardware removal has no significant difference (P>0.05).In group B, the height of posterior border of vertebral body Is91.5±0.7in pre-operative,98.9±0.7in3days after operation. The comparison of them had significant difference (p<0.05). The comparison of the height of posterior border of vertebral body between3days after operation and after hardware removal has no significant difference (P>0.05).The height of posterior border of vertebral body of the two groups is well recovered.The comparison of the height of posterior border of vertebral body between group A and group B has no significant difference (p>0.05).3.The change of Cobb angleIn group A, the Cobb angle of vertebral body is33.9±1.1, in pre-operative,1.7±0.5in3days after operation. The comparison of them has significant difference (p<0.05). The comparison of the Cobb angle of vertebral body between3days after operation and after hardware removal has no significant difference (P>0.05). In group B, the Cobb angle of vertebral body is33.7±0.8, in pre-operative,5.0±0.9in3days after operation. The comparison of them has significant difference (p<0.05). The comparison of the Cobb angle of vertebral body between3days after operation and after hardware removal has no significant difference (P>0.05).The height of posterior border of vertebral body of the two groups is well recovered.The comparison of the Cobb angle of vertebral body between group A and group B has significant difference (p<0.05). The treatment of group A is better.4. Comparison of9-12months Postoperative clinical curative effect evaluation.Comparison of9-12months Postoperative clinical curative effect evaluation between group A and group B has significant difference (p<0.05), clinical curative effect of group A is better.ConclusionAF system is the effective treatment for the no neurological damage type thoracolumbar burst fracture. Before operation, we used the conservative methods of traditional Chinese medicine that can better recover the height of vertebral body and Cobbs Angle, rebuild spinal stability, restore normal physiological curvature of the spine and biomechanical balance.