Pillow Reduction Combined With Pedicle Bone Graft For Clinical Efficacy Of Thoracolumbar Burst Fractures

Objective:This project aims to bolster observed by comparing the reset method and apparatus with interbody distraction reduction with two surgical bone grafting methods of clinical efficacy evaluation pillow reset method combined with the treatment of thoracolumbar vertebral bone the clinical efficacy of burst fractures.Methods:consistent with the inclusion criteria of60cases of thoracolumbar burst fracture patients through their treatment has the numbers, using a random number table into treatment group and control group, every groups30cases. Treatment groups:fixed with pedicle bone graft and pillow repositioning surgery posterior. Control group: posterior fixation with pedicle bone graft and surgery equipment distraction reduction method. And operative time, Cobb angle before and after treatment, the percentage of vertebral height around the edge as a clinical outcome measures, clinical efficacy and contrast, and observe the adverse reactions.Results:Clinical observations indicate that cushions reset group and distraction reset group have good therapeutic effect, the difference was not statistically significant (P>0.05) on the efficacy evaluation. The difference was not statistically significant (P>0.05) in the Cobb angle, vertebral height around the edge of the percentage of recovery. The operation time is reset pillow distraction reduction group than the group slightly shortened by about15minutes. Blood loss and recovery of neurological function was no significant difference (P>0.05). During the observation period, the patient with the treatment, adverse reactions and incidents did not appear.Conclusion:Pillow repositioning with pedicle bone grafting treatment of thoracolumbar burst fractures with satisfactory efficacy and safety. Its traditional Chinese medicine and Western medicine therapies combining surgery, the use of cushions to restore vertebral body height and bone strength increases with pedicle bone graft. Can fully restore vertebral height and reduce the occurrence of metal fatigue fracture prevention of complications such as nail bar and a little shorter operative time, can be used as an effective method for the treatment of thoracolumbar burst fractures, is the traditional method of distraction reset a useful complement.