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- W2385779013 abstract "Objective To explore the effect of broken-bone excision,decompression and reconstruction of spine in the treatment of thoracolumbar burst fracture through pedicleectomy posterior approach.Methods From June 2007 to May 2009,26 patients with thoracolumbar burst fractures were treated with broken-bone excision,decompression and reconstruction of spine through pedicleectomy posterior approach.Twenty patients were followed up and six patients were missed.The injury causes included falling down in 8 cases,traffic accident in 10 cases and crushing in 2 cases.T11 was involved in 3 cases,T12 in 7cases,L1 in 8 cases,L2 in 2 cases.Neurological status at preoperative,1 week postoperative and 6 month postoperative were reviews by ASIA scoring system,the decompression and reduction status were reviewed radiologically.Results The average operation time was 2.8 h(ranging,2.3 to 3.5),and the average hemorrhage was 700mL(ranging,500 to 1800mL).No nerve and blood vessel injury.The average follow-up period was 18 months(ranging,12～24 months).The volume rate of spinal canal involved(the actual spinal canal volume under cross-section/normal spinal canal volume) increase from 53.23% preoperatively to 95.17% 1 week postoperatively and 96.47% 6 months postoperatively(P0.05).The Cobb-angle decrease from 26.6°preoperatively to 4.3° 1 week postoperatively and 4.9° 6 month postoperatively(P0.05).All patients had complete bony fusion at 6 months postoperatively without occurrence of implant failure.All patients had neurofunctional recovery 1～2 Grade,except that two A Grade patients preoperatively and one E Grade patient preoperatively had no improvement.Conclusion Treatment of thoracolumbar burst fractures by broken-bone excision,decompression and reconstruction of spine through pedicleectomy posterior approach are safe and effective in reconstructing spinal canal volume and Cobb-angle." @default.
- W2385779013 created "2016-06-24" @default.
- W2385779013 creator A5043240643 @default.
- W2385779013 date "2011-01-01" @default.
- W2385779013 modified "2023-09-26" @default.
- W2385779013 title "Broken-bone Excision,Decompression and Reconstruction of Spine in the Treatment of thoracolumbar Burst fracture through Pedicleectomy Posterior Approach" @default.
- W2385779013 hasPublicationYear "2011" @default.
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