Surgical techniques and clinical effect of poking reduction in treatment of thoracolumbar fracture
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ZHANG Bohua,
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CAI Jinsheng,
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ZHAO Yongfei,
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WU Zhanyong,
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WU Huarong,
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ZHANG Liansuo,
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XU Weikun,
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WANG Huiwang,
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FAN Huilong,
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LU Xinming,
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MA Jianqing,
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YANG Sheng
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Abstract
Objective To discuss the surgical techniques and clinical effect of poking reduction in treatment of thoracolumbar fracture. Methods Clinical data about 71 patients with thoracolumbar fracture admitted to Orthopedic Hospital of Xingtai City from January 2012 to January 2015 who were treated with this technique were reviewed and analyzed. Nails were implanted into the injured vertebras at different angel and in different depth for poking reduction. Clinical effects including the compression ratio of anterior vertebral height, COBB angel and JOA score were evaluated. Results All patients were followed up for one year and no serious complication was found. The compression ratio of anterior vertebral height, COBB angel and JOA score increased significantly (compression ratio of anterior vertebral height, 97.7%±1.7% vs 63.3%±20.1%; COBB angel, 27.3°±2.4° vs 5.5°±1.7°; JOA, 27.8±1.1 vs 16.5±3.1; all P < 0.05). Conclusion Implanting nail at different angel and in different depth to poke, stretch and restore injured vertebras is a unique, simple and effective treatment for thoracolumbar fracture with favourable clinical outcomes.
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