PMID: 20135967Feb 9, 2010Paper

Comparative study on indirect decompression versus open decompression to vertebral canal in treating thoracolumbar burst fractures without neurologic deficit

Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery
Jinhua YangJianru Xiao

Abstract

To compare the clinical effects of indirect decompression versus open decompression to vertebral canal in treatment of thoracolumbar burst fractures without neurologic deficit. From April 2004 to June 2008, 52 cases of thoracolumbar burst fracture without neurologic deficit underwent posterior exposition, reduction and fixation with Atlas Fixator (AF) instrumentation. There were 34 males and 18 females with an average age of 43.1 years (range, 31-63 years). The affected locations were T11 in 5 cases, T12 in 24 cases, L1 in 16 cases, and L2 in 7 cases. The time from injury to operation was 3-8 days (4.4 days on average). All cases were divided into indirect decompression group (group A) and open decompression group (group B). There were no statistically significant differences (P > 0.05) in sex, age, affect site, and disease course between two groups. The operative time, blood loss were recorded. Preoperatively, immediately postoperatively and at last follow-up, the height of the fracture vertebra and the Cobb angle were obtained from X-ray pictures and were statistically analysed. Radiographic parameters on computed tomography (CT) pictures were used to get the encroachment rate of vertebral canal. The operative time was (87.3 ...Continue Reading

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