Bone and Arthrosurgery Science

Analysis of the Clinical Effect of Pedicle Screw Fixation Combined with Surgical Methods in Patients with Severe Osteoporosis and Compression Vertebral Fractures

2025-02-28T08:40:37+08:00

Objective: To explore the therapeutic effect of pedicle screw fixation combined with surgical methods in patients with severe osteoporosis and compression vertebral fractures (OVCF). Methods: Eighty-two patients with severe osteoporosis and OVCF admitted to our hospital from January 2023 to January 2024 were selected as study subjects. They were randomly divided into a control group (n = 41) receiving conventional conservative treatment and an observation group (n = 41) undergoing pedicle screw fixation combined with vertebroplasty. The treatment effects and overall patient satisfaction rates were compared between the two groups three months after surgery. Results: The total effective rate of the observation group was 97.56% (40/41), significantly higher than the 70.73% (29/41) of the control group (P < 0.05). Additionally, the overall satisfaction rate of the observation group was significantly higher than that of the control group (P < 0.05). Conclusion: Pedicle screw fixation combined with vertebroplasty is significantly effective in treating severe OVCF, with higher patient satisfaction, and is worthy of promotion.

Clinical Observation on the Effectiveness of Combined Anterior and Posterior Cervical Surgery for Cervical Spinal Stenosis with Cervical Injury

2025-03-06T09:48:53+08:00

Objective: To explore and analyze the clinical effectiveness of combined anterior and posterior cervical surgery for the treatment of cervical spinal stenosis with cervical injury. Methods: From March 2023 to June 2024, 40 patients who received treatment for cervical spinal stenosis with cervical injury in our hospital were selected as the study subjects. They were randomly divided into the experimental group and the control group, with 20 patients in each group. The experimental group underwent combined anterior and posterior cervical surgery, while the control group underwent simple anterior cervical decompression surgery. The changes in clinical indicators and improvement in cervical function before and after surgery were compared and analyzed between the two groups. Results: Following surgical treatment, the clinical indicators in the experimental group improved more significantly than those in the control group. Additionally, the postoperative cervical function improvement in the experimental group was superior to that in the control group. The differences between the two groups were statistically significant (P < 0.05). Conclusion: For patients with cervical spinal stenosis and cervical injury, the combined anterior and posterior cervical surgery approach can effectively improve cervical function, demonstrating significant therapeutic effects. This surgical method is worthy of clinical promotion.

Retrospective Analysis and Literature Review of a Case of Spinal Epidural Lipomatosis

2025-03-06T09:48:56+08:00

Spinal epidural lipomatosis (SEL) refers to the pathological overgrowth and accumulation of fat tissue within the spinal canal, forming an intraspinal space-occupying lesion. It is often associated with other spinal surgical conditions. This study retrospectively analyzes the clinical data of a patient diagnosed with SEL at Wuhan Hospital of Traditional Chinese Medicine on April 18, 2024, and reviews relevant literature. The study focuses on the etiology, clinical manifestations, diagnosis, and treatment of SEL to provide insights for clinical practice.

Analysis of Surgical Techniques and Therapeutic Effects for Hyperextension Tibial Plateau Fractures

2025-03-06T09:48:50+08:00

Objective: To explore the surgical techniques and clinical efficacy of plate fixation for hyperextension tibial plateau fractures. Methods: A retrospective analysis was conducted on 20 patients with hyperextension tibial plateau fractures who underwent surgery in our hospital from January 2018 to October 2022. The operation time, hospital stay, preoperative and postoperative posterior tibial slope angles, knee function score (HSS), and postoperative complications were recorded. Results: All patients were effectively followed up for at least 6 months, with an average follow-up of 14.6 months. The average operation time was 153 minutes, and the average hospital stay was 18.7 days. The average preoperative posterior tibial slope angle improved from -3.7° to 7.3° postoperatively (P < 0.05), with a statistically significant difference. At the last follow-up, the HSS score was 81.2. One case of incision infection was reported, with no other serious complications. Conclusion: Hyperextension tibial plateau fractures present a significant clinical challenge. Strong fixation with a plate, restoration of the posterior tibial slope angle, and maintenance of knee joint stability provide an effective treatment approach for hyperextension tibial plateau fractures.