The Clinical Comparison Of Pillar Block And BKP Treatment For Thoracolumbar Compression Fractures

Objective: To assess the surgical therapeutic result of thoracolumbar compressionfractures by minimally invasive vertebral pillar block insertion through pedicle orpercutaneous kyphoplasty. Methods: From to, thoracolumbar compression fracturepatients（vertebral） were divided into two groups: A, cases who underwent minimallyinvasive vertebral pillar block insertion through pedicle for thoracolumbar compressionfractures;B, cases who underwent percutaneous kyphoplasty for thoracolumbarcompression fractures. The evaluation parameters included the Cobb angle alignmentcorrection, the anterior vertebral height restoration and Visual analogue scale(VAS) andOswestry Disability Index (ODI) scores. Results: All the patients were successfullyoperated, they were followed up for a mean of months. There were significant differencewith respect to the Cobb angle, anterior height of vertebral body and VAS score betweenpre and post-operation （P＜0.05） in both groups. To the last follow-up, the Cobb angleand anterior height of vertebral body correcting effect in A group was much better than thatin B group（P＜0.05）,but there were no significant difference（P＞0.05）on VAS score inboth groups. Conclusion: Both minimally invasive vertebral pillar block insertion throughpedicle and percutaneous kyphoplasty are effective and safe in the treatment ofthoracolumbar compression fractures，while former is better than BKP due to its Cobbangle correction and anterior vertebral height restoration.