Keywords
Fixation and fusion
Spinal fracture
Submitted : 2024-06-18
Accepted : 2024-07-03
Published : 2024-07-18
Abstract
Objective: To explore the clinical effect of internal fixation and fusion with the paraspinal muscle gap approach in the treatment of spinal fracture patients. Methods: 104 spinal fracture patients admitted to Central Hospital of TCM from October 2022 to April 2024 were selected as the study subjects and were randomly divided into the control group (n = 52) and the observation group (n = 52) according to the random number table method. The control group was treated with the conventional approach of internal fixation surgery, and the observation group was treated with the paraspinal muscular interspace approach of internal fixation fusion. The two groups’ general data, surgical indexes, pain, lumbar spine function, and postoperative complications were observed. Results: The baseline data of the two groups of patients were not statistically significant (all P > 0.05) while the intraoperative bleeding, the first postoperative time getting up from bed, and the length of hospital stay of the patients in the observation group were shorter than that of the control group (all P = 0.000 < 0.001), and the duration of the operation was longer than that of the control group (t = 2.644, P = 0.010 < 0.05); at 3 months postoperatively, the VAS scores of the patients in the observation group were significantly lower than those in the control group (t = 10.768, P = 0.000 < 0.001), and the JOA score was higher than that of the control group (t = 6.498, P = 0.000 < 0.001); the total complication rate of patients in the observation group (3 / 5.77%) was significantly lower than that of the control group (12 / 23.08%) (χ2 = 6.310, P = 0.012 < 0.05). Conclusion: In the treatment of spinal fracture patients, compared with the conventional approach to internal fixation surgery, the paraspinal muscular gap approach to internal fixation and fusion treatment is less traumatic, postoperative lumbar spine function recovery is faster, and can reduce the incidence of postoperative complications.
References
Bai S, 2022, Clinical Effect of Internal Fixation and Fusion with Paraspinal Muscle Gap Approach in the Treatment of Spinal Fracture. Chinese and Foreign Medicine Research, 20(4): 139–141.
Wang Z, Zeng Z, Song Y, et al., 2019, Comparison of Two Different Surgical Approaches to Fixation and Fusion for Lumbar Spinal Stenosis. Chinese Journal of Orthopaedic Surgery, 27(11): 986–990.
Xia G, Chen C, Xie X, et al., 2020, Analysis of the Efficacy of Incisional Reduction and Internal Fixation for the Treatment of Thoracolumbar Compression Fracture via Paraspinal Muscular Space Approach. Chinese Journal of Bone and Joint Injury, 35(9): 954–956.
Cui D, 2020, Study on the Clinical Value of Internal Fixation and Fusion with Paraspinal Muscular Space Approach for the Treatment of Spinal Fracture. Henan Journal of Surgery, 26(6): 129–131.
Liu J, Liu P, Hao D, et al., 2017, Treatment of Complete Thoracolumbar Vertebral Fracture-Dislocation with Posteriorly Repositioned Intervertebral Implant Fusion Internal Fixation. Chinese Journal of Orthopaedics, 37(9): 541–546.
Jin C, Xie N, Cheng L, 2019, Research Progress of Clinical Efficacy and Imaging Analysis of Hangman Fracture with Different Treatment Modalities. International Journal of Orthopaedics, 40(5): 272–275.
Zheng Y, Lu S, 2018, Comparison of the Efficacy of Modified Paravertebral Musculoskeletal Gap Approach and Traditional Posterior Median Approach for the Treatment of Thoracolumbar Spine Fracture. Orthopaedics, 9(2): 90–95.
Zhang H, Hou H, 2018, Research on the Influence of Internal Fixation of Pedicle Screws with Paravertebral Muscle Gap Approach on the Clinical Effect of Patients with Thoracolumbar Spine Fracture. Modern Diagnosis and Treatment, 29(5): 805–807.
Ye M, Zou Y, Wang K, et al., 2014, Analysis of the Efficacy of 28 Cases of Thoracolumbar Spinal Fractures Treated with the Assistance of Internal Fixation of Injured Vertebral Nailing Through the Paraspinal Muscular Space Approach. Guizhou Medicine, 38(8): 733–735.
Zhang Q, Xia W, 2018, Effect of Paraspinal Muscular Interspace Approach Combined with Injured Vertebral Pinning on Vertebral Structure in the Treatment of Thoracolumbar Spinal Fracture. Modern Medicine and Health, 34(10): 1560–1561.