Observation Curative Effect of Percutaneous Pedicle Screw Combined with Intervertebral Foraminoscopy in the treatment of Lumbar Burst Fractures with Neurological Impairment
ZHU Naiqiang, et al
The Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, China
Abstract：Objective: To explore the therapeutic effect of percutaneous pedical screw internal fixation combined with percutaneous transforaminal endoscopic decompression for lumbar fracture complicated with neurological deficits. Methods: From August 2015 to February 2017, 5 cases of lumbar vertebral fractures with neurological impairment were treated by percutaneous pedicle screw fixation combined with intervertebral foraminoscopy. General clinical data were recorded. The percentage of anterior vertebral height, Cobb angle of sagittal kyphosis, neurological function and VAS pain score were recorded. Results: 5 cases were smoothly performed the procedure. No surgery related complains were found.The anterior height of fracture vertebral body, Sagittal kyphposis Cobb angle, the function of nerve and VAS score all got ideal recoveries after 2-stage operation.At the 3-month follow-up,there was no loss of sagittal plane alignment, and spinal cord achieved effective decompression. More than one grade of neurofunction recovery was observed at final follow-up. Conclusion: Percutaneous pedicle screw fixation combined with intervertebral foraminoscopic spinal canal decompression can ensure adequate nerve decompression and significantly reduce surgical trauma. It is a safe and effective surgical method for the treatment of lumbar fracture with nerve function impairment.
2018, Vol. 24 
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