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• W2751504172 abstract "To investigate the clinical efficacy and the indications of posterolateral fusion and pedicle screw short-segment fixation via injured vertebra for treating old thoracolumbar fracture combined with kyphosis in elderly patients.Between January 2012 and December 2014, 24 patients with old thoracolumbar fracture and kyphosis received posterolateral fusion and pedicle screw short-segment fixation via injured vertebra. Of 24 cases, 8 were male and 16 were female with an average age of 66.3 years (range, 56-79 years). The mean disease course was 17.5 months (range, 5-36 months). There were 13 cases of osteoporosis, 9 cases of osteopenia, and 2 cases of normal bone. The visual analogue scale (VAS) was 6.53±0.95, and Oswestry disability index (ODI) was 52.63%±5.74% preoperatively. The thoracolumbar kyphosis located at T10 to L2, and the kyphotic Cobb angle was (28.79±5.04)° before operation.The operation was completed successfully without related complications. The operative time was 1.2-2.3 hours (mean, 1.6 hours), and intraoperative blood loss was 80-210 mL (mean, 158 mL). No nerve injury occurred. Poor healing of incision was observed in 1 patient with diabetes, and primary healing of incision was obtained in the other patients. Nineteen patients were followed up 6-30 months (mean, 14.4 months), and there were 2 deaths. Pain relief and function recovery were obtained in 19 patients after operation. The VAS score and ODI were significantly decreased to 2.4±0.7 and 32.14%±5.12% at last follow-up (t=8.542, P=0.000; t=9.826, P=0.000). The kyphotic Cobb angle was significantly decreased to (21.23±4.30)° at immediate after operation (P<0.05) and to (23.68±4.35)° at last follow-up (P<0.05), but no significant difference was found between at immediate and last follow-up (P>0.05). No loosening or breakage of internal fixation was observed during follow-up.Posterolateral fusion and pedicle screw short-segment fixation via injured vertebra is a safe and effective treatment for elderly patients with old thoracolumbar fracture combined with kyphosis (Cobb angle less than 40°).探讨后路后外侧植骨融合、经伤椎植钉短节段内固定术治疗老年陈旧性胸腰椎骨折并后凸畸形的疗效。.2012年1月－2014年12 月，收治以体位变化性腰背痛为主诉的陈旧性胸腰椎骨折伴后凸畸形老年患者24例。男8例，女16例；年龄56~79岁，平均66.3岁。伤后至该次治疗时间为5~36个月，平均17.5个月。骨质疏松13例，骨量减少9例，骨量正常2例。术前疼痛视觉模拟评分（VAS）为（6.53±0.95）分，Oswestry功能障碍指数（ODI）为52.63%±5.74%。后凸顶点均位于T10~L2之间，后凸Cobb角为（28.79±5.04）°。患者均接受后路后外侧植骨融合、经伤椎植钉短节段内固定术治疗。.患者均顺利完成手术；手术时间1.2~2.3 h，平均1.6h；术中出血量80~210 mL，平均158 mL。均无神经损伤相关并发症。除1例合并糖尿病患者术后切口红肿、愈合不佳外，其余患者切口均Ⅰ期愈合。术后19例获随访，随访时间6~30个月，平均14.4个月；其中2例随访期内死亡。末次随访时，患者腰背痛症状明显改善，VAS评分为（2.4±0.7）分，与术前比较差异有统计学意义（t=8.542，P=0.000）。末次随访时，ODI为32.14%±5.12%，与术前比较差异有统计学意义（t=9.826，P=0.000）。X线片复查示，术后即刻后凸Cobb角为（21.23±4.30）°，末次随访时为（23.68±4.35）°，与术前比较差异有统计学意义（P＜0.05）；术后即刻与末次随访时比较差异无统计学意义（P＞0.05）。随访期间无退钉、断钉、断棒等内固定失败发生。.对于后凸Cobb角＜40°、以脊柱失稳为腰背痛主要原因的陈旧性胸腰椎骨折伴后凸畸形老年患者，单纯后路植骨融合内固定术治疗效果肯定，且手术创伤及风险较小。." @default.
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• W2751504172 date "2016-09-08" @default.
• W2751504172 modified "2023-09-27" @default.
• W2751504172 title "[POSTEROLATERAL FUSION AND PEDICLE SCREW FIXATION FOR TREATING OLD THORACOLUMBAR FRACTURE COMBINED WITH KYPHOSIS IN ELDERLY PATIENTS]." @default.
• W2751504172 doi "https://doi.org/10.7507/1002-1892.20160227" @default.
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