[Unilateral Wiltse intermuscular approach and contralateral decompression for the treatment of thoracolumbar burst fracture]

doi:10.3969/j.issn.1003-0034.2017.05.012

科研成果详情

题名	[Unilateral Wiltse intermuscular approach and contralateral decompression for the treatment of thoracolumbar burst fracture]
其他题名	Unilateral Wiltse intermuscular approach and contralateral decompression for the treatment of thoracolumbar burst fracture
作者	Chi Li1; Jing Wang 2; Hong-Lin Teng2; Ming-Yu Zhu 2; Yang Zhou 2
发表日期	2017-05-25
发表期刊	Zhongguo gu shang = China journal of orthopaedics and traumatology 影响因子和分区
语种	英语
原始文献类型	Periodical
关键词	Decompression Surgical approach Thoracolumbar fracture.
其他关键词	Thoracolumbar fracture ; Surgical approach ; Decompression
摘要	Objective:To compare the clinical effects and multifidus muscle injury of different approaches, including unilateral Wiltse intermuscular approach and intramuscular approach combined with contralateral decompression, in treating thoracolumbar burst fracture. Methods:Forty-three patients with thoracolumbar burst fracture were enrolled in the study from January 2010 to December 2014, including 29 males and 14 females with an average age of 42.3 years old(ranged from 21 to 64 years old). The patients were treated with posterior pedicle screw fixation and unilateral decompression and were divided into Wiltse intermuscular approach group (group A) and intramuscular approach group (group B) according to surgical approach. Operation time and intraoperative bleeding were recorded for all patients; visual analogue scale(VAS) was compared 1 d preoperatively, 1 week, 12 months postoperatively between two groups; preoperation and 12 months postoperatively, the fractured vertebral canal and two-sides multifidus muscle of the same section were observed and compared by CT measure between two groups. Results:All the patients were follow-up for 14 to 21 months with an average of 16.3 months. Partial wound non-healing occurred in 3 patients and the wound ultimately healing after debridgement suture and change dressings. No screw breakage was found. There was significant difference in operation and intraoperative bleeding operation between two groups (P<0.05), while there was no significant difference in VAS score of 1 d preoperatively, 1 week, 12 months postoperatively between two groups(P>0.05). As for CT measurement results, postoperative vertebral canal narrow ratio was significant decreased in all patients(P<0.05), while perioperative changes of the two-sides multifidus muscle cross section area and density were significant in group A (P<0.05), but there was no significant difference in group B (P>0.05). Neurologic status of all patients got recovery at final follow-up. Conclusions:The method of unilateral Wiltse intermuscular approach combined with contralateral decompression for the treatment of thoracolumbar burst fracture has good clinical effects, also it is less invasive and less damage to multifidus muscle compared with intramuscular approach.
其他摘要	To compare the clinical effects and multifidus muscle injury of different approaches,including unilateral Wiltse intermuscular approach and intramuscular approach combined with contralateral decompression,in treating thoracolumbar burst fracture.Methods:Forty-three patients with thoracolumbar burst fracture were enrolled in the study from January 2010 to December 2014,including 29 males and 14 females with an average age of 42.3 years old (ranged from 21 to 64 years old).The patients were treated with posterior pedicle screw fixation and unilateral decompression and were divided into Wiltse intermuscular approach group (group A) and intramuscular approach group (group B) according to surgical approach.Operation time and intraoperative bleeding were recorded for all patients;visual analogue scale(VAS) was compared 1 d preoperatively,1 week,12 months postoperatively between two groups;preoperation and 12 months postoperatively,the fractured vertebral canal and two-sides multifidus muscle of the same section were observed and compared by CT measure between two groups.Results:All the patients were follow-up for 14 to 21 months with an average of 16.3 months.Partial wound non-healing occurred in 3 patients and the wound ultimately healing after debridgement suture and change dressings.No screw breakage was found.There was significant difference in operation and intraoperative bleeding operation between two groups (P＜0.05),while there was no significant difference in VAS score of 1 d preoperatively,1 week,12 months postoperatively between two groups (P＞0.05).As for CT measurement results,postoperative vertebral canal narrow ratio was significant decreased in all patients (P＜0.05),while perioperative changes of the two-sides multifidus muscle cross section area and density were significant in group A (P＜0.05),but there was no significant difference in group B (P＞0.05).Neurologic status of all patients got recovery at final follow-up.Conclusion:The method of unilateral Wiltse intermuscular approach combined with contralateral decompression for the treatment of thoracolumbar burst fracture has good clinical effects,also it is less invasive and less damage to multifidus muscle compared with intramuscular approach.
ISSN	1003-0034
卷号	30 期号:5 页码:453-457.
DOI	10.3969/j.issn.1003-0034.2017.05.012
页数	5
收录类别	PUBMED ; 万方 ; SCOPUS ; ISTIC
URL	查看原文
PubMed ID	29417778
SCOPUSEID	2-s2.0-85049256055
Scopus学科分类	Medicine (all)
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/34735
专题	第一临床医学院（信息与工程学院）、附属第一医院_外科学_骨科
作者单位	1.Department of Orthopaedics, the First Affiliated Hostpital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China; lch94696@163.com.; 2.Department of Orthopaedics, the First Affiliated Hostpital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China.
第一作者单位	第一临床医学院（信息与工程学院）、附属第一医院_外科学_骨科
第一作者的第一单位	第一临床医学院（信息与工程学院）、附属第一医院_外科学_骨科
推荐引用方式 GB/T 7714	Chi Li,Jing Wang,Hong-Lin Teng,et al. [Unilateral Wiltse intermuscular approach and contralateral decompression for the treatment of thoracolumbar burst fracture][J]. Zhongguo gu shang = China journal of orthopaedics and traumatology,2017,30(5):453-457..
APA	Chi Li, Jing Wang, Hong-Lin Teng, Ming-Yu Zhu, & Yang Zhou. (2017). [Unilateral Wiltse intermuscular approach and contralateral decompression for the treatment of thoracolumbar burst fracture]. Zhongguo gu shang = China journal of orthopaedics and traumatology, 30(5), 453-457..
MLA	Chi Li,et al."[Unilateral Wiltse intermuscular approach and contralateral decompression for the treatment of thoracolumbar burst fracture]".Zhongguo gu shang = China journal of orthopaedics and traumatology 30.5(2017):453-457..

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