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| Comparison of Anterior and Posterior Approaches and Simple Posterior Approaches in the treatment of Thoracolumbar Spinal Fractures in Adults |
| WU Zaifeng, LIN Lin, YANG Xu, et al |
| The First Hospital of Qiqihar City, Heilongjiang Qiqihar 161000, China |
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Abstract Objective: To study the effect of combined anterior and posterior approaches and simple posterior approaches in the treatment of adult thoracolumbar vertebral fractures. Methods: 60 adult patients with thoracolumbar vertebral fracture admitted to our hospital from May 2016 to August 2018 were selected as the research objects. According to the different surgical treatment methods, they were divided into group A (32 cases), group B (28 cases), group B (28 cases), group B (simple posterior treatment), group A (anterior combined posterior treatment) on the basis of group B. To observe the clinical efficacy of the two groups after treatment, the motor function and tactile function score, vertebral height and Cobb angle of the two groups before and after treatment were observed and recorded. Results: After treatment, there were significant differences in marked, effective and ineffective effects between the two groups (P<0.05), and the total effective rate of group A was significantly higher than that of group B (P<0.05). After treatment, the scores of motor function and tactile function in two groups were significantly higher than those before treatment, but after treatment, the scores in group A were significantly higher than those in group B, with statistical significance (P<0.05); after treatment, the height of injured vertebrae in group A and group B was significantly higher than that before treatment, and after treatment, the scores in group A were significantly higher than that in group B, with statistical significance (P<0.05); after treatment, the Cobb angle in two groups was significantly decreased, with treatment. There was significant difference before treatment (P<0.05), but group A was significantly lower than group B (P<0.05).The operative time and intraoperative blood loss in group A were significantly higher than those in group B (P<0.05), but there was no significant difference in hospitalization time between the two groups (P>0.05). Conclusion: The combined treatment of thoracolumbar spine fracture by anterior and posterior approach has significant effect.
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2019, Vol. 25 
