Effect of manual reduction and indirect decompression on thoracolumbar burst fracture: a comparison study
Abstract Objective To evaluate the effect of manual reduction and indirect decompression on thoracolumbar burst fracture. Methods Sixty patients with thoracolumbar burst fracture who were hospitalized from January 2018 to October 2019 were selected and divided into an experimental group (33 cases) a...
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-020-02075-w |
| _version_ | 1811278851427270656 |
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| author | Jian Huang Limin Zhou Zhaodong Yan Zongbo Zhou Xuejian Gou |
| author_facet | Jian Huang Limin Zhou Zhaodong Yan Zongbo Zhou Xuejian Gou |
| author_sort | Jian Huang |
| collection | DOAJ |
| description | Abstract Objective To evaluate the effect of manual reduction and indirect decompression on thoracolumbar burst fracture. Methods Sixty patients with thoracolumbar burst fracture who were hospitalized from January 2018 to October 2019 were selected and divided into an experimental group (33 cases) and control group (27 cases) according to different treatment methods. The experimental group was treated with manual reduction and indirect decompression, while the control group was not treated with manual reduction. The operation time and intraoperative blood loss were recorded. VAS score was used to evaluate the improvement of pain. The anterior height of the injured vertebra, wedge angle of the injured vertebral body, and encroachment ratio of the injured vertebral canal were used to evaluate the spinal canal decompression and fracture reduction. JOA score was used to evaluate the improvement of spinal function. Results There was no significant difference in operation time and intraoperative blood loss between the two groups. Compared with the control group, the VAS score and the wedge angle of the injured vertebral body of the experimental group 3 days after the operation and the last follow-up were significantly lower than that of the control group, and the difference was statistically significant. The ratio of the anterior height of the injured vertebra of the experimental group 3 days after the operation and the last follow-up was significantly higher than that of the control group, and the difference was statistically significant. The difference of the encroachment ratio of the injured vertebral canal between preoperation and 3 days after operation was significantly higher than that of the control group, and the difference was statistically significant. The bladder function of JOA 3 days after the operation of the experimental group was significantly higher than that of the control group, and the difference was statistically significant. And the rest aspect of JOA on 3 days after the operation and last follow-up of the experimental group has no significant difference compared with the control group. Conclusion Manipulative reduction and indirect decompression can obtain a better clinical effect in the treatment of thoracolumbar burst fractures. |
| first_indexed | 2024-04-13T00:44:00Z |
| format | Article |
| id | doaj.art-1524ad90a0e848e7b560e1b748b75f1b |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T00:44:00Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-1524ad90a0e848e7b560e1b748b75f1b2022-12-22T03:10:04ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-11-011511810.1186/s13018-020-02075-wEffect of manual reduction and indirect decompression on thoracolumbar burst fracture: a comparison studyJian Huang0Limin Zhou1Zhaodong Yan2Zongbo Zhou3Xuejian Gou4Department of Orthopaedic, Haikou Hospital of Traditional Chinese MedicineDepartment of Orthopaedic, Haikou Hospital of Traditional Chinese MedicineDepartment of Orthopaedic, Haikou Hospital of Traditional Chinese MedicineDepartment of Orthopaedic, Haikou Hospital of Traditional Chinese MedicineDepartment of Orthopaedic, Haikou Hospital of Traditional Chinese MedicineAbstract Objective To evaluate the effect of manual reduction and indirect decompression on thoracolumbar burst fracture. Methods Sixty patients with thoracolumbar burst fracture who were hospitalized from January 2018 to October 2019 were selected and divided into an experimental group (33 cases) and control group (27 cases) according to different treatment methods. The experimental group was treated with manual reduction and indirect decompression, while the control group was not treated with manual reduction. The operation time and intraoperative blood loss were recorded. VAS score was used to evaluate the improvement of pain. The anterior height of the injured vertebra, wedge angle of the injured vertebral body, and encroachment ratio of the injured vertebral canal were used to evaluate the spinal canal decompression and fracture reduction. JOA score was used to evaluate the improvement of spinal function. Results There was no significant difference in operation time and intraoperative blood loss between the two groups. Compared with the control group, the VAS score and the wedge angle of the injured vertebral body of the experimental group 3 days after the operation and the last follow-up were significantly lower than that of the control group, and the difference was statistically significant. The ratio of the anterior height of the injured vertebra of the experimental group 3 days after the operation and the last follow-up was significantly higher than that of the control group, and the difference was statistically significant. The difference of the encroachment ratio of the injured vertebral canal between preoperation and 3 days after operation was significantly higher than that of the control group, and the difference was statistically significant. The bladder function of JOA 3 days after the operation of the experimental group was significantly higher than that of the control group, and the difference was statistically significant. And the rest aspect of JOA on 3 days after the operation and last follow-up of the experimental group has no significant difference compared with the control group. Conclusion Manipulative reduction and indirect decompression can obtain a better clinical effect in the treatment of thoracolumbar burst fractures.http://link.springer.com/article/10.1186/s13018-020-02075-wManipulative reductionIndirect decompressionThoracolumbar burst fractures |
| spellingShingle | Jian Huang Limin Zhou Zhaodong Yan Zongbo Zhou Xuejian Gou Effect of manual reduction and indirect decompression on thoracolumbar burst fracture: a comparison study Journal of Orthopaedic Surgery and Research Manipulative reduction Indirect decompression Thoracolumbar burst fractures |
| title | Effect of manual reduction and indirect decompression on thoracolumbar burst fracture: a comparison study |
| title_full | Effect of manual reduction and indirect decompression on thoracolumbar burst fracture: a comparison study |
| title_fullStr | Effect of manual reduction and indirect decompression on thoracolumbar burst fracture: a comparison study |
| title_full_unstemmed | Effect of manual reduction and indirect decompression on thoracolumbar burst fracture: a comparison study |
| title_short | Effect of manual reduction and indirect decompression on thoracolumbar burst fracture: a comparison study |
| title_sort | effect of manual reduction and indirect decompression on thoracolumbar burst fracture a comparison study |
| topic | Manipulative reduction Indirect decompression Thoracolumbar burst fractures |
| url | http://link.springer.com/article/10.1186/s13018-020-02075-w |
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