Effectiveness of the Endplate Reduction Technique Combined With Bone Grafting for the Treatment of Thoracolumbar Fractures by Using Posterior Short-Segment Fixation

Jiguang Hou; Dong Ren; Yufeng Chen; Lindan Geng; Shuangquan Yao; Haotian Wu; Pengcheng Wang

doi:10.14245/ns.2244980.490

추천

검색

자료유형: 학술저널

저자정보: Jiguang Hou (Orthopaedic Trauma Service Center The Third Hospital of Hebei Medical University Major Laboratory of Orthopaedic Biomechanics in Hebei Province) Dong Ren (Orthopaedic Trauma Service Center The Third Hospital of Hebei Medical University Major Laboratory of Orthopaedic Biomechanics in Hebei Province) Yufeng Chen (Orthopaedic Trauma Service Center The Third Hospital of Hebei Medical University Major Laboratory of Orthopaedic Biomechanics in Hebei Province) Lindan Geng (Orthopaedic Trauma Service Center The Third Hospital of Hebei Medical University Major Laboratory of Orthopaedic Biomechanics in Hebei Province) Shuangquan Yao (Orthopaedic Trauma Service Center The Third Hospital of Hebei Medical University Major Laboratory of Orthopaedic Biomechanics in Hebei Province) Haotian Wu (Orthopaedic Trauma Service Center The Third Hospital of Hebei Medical University Major Laboratory of Orthopaedic Biomechanics in Hebei Province) Pengcheng Wang (Department of Orthopaedics First Hospital of Qinhuangdao)

저널정보: 대한척추신경외과학회 Neurospine Neurospine 제20권 제1호

발행연도: 2023.3

수록면: 353 - 364 (12page)

DOI: 10.14245/ns.2244980.490

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objective: This study aimed to examine the effect of the endplate reduction (EPR) technique combined with bone grafting for treating thoracolumbar burst fractures using posterior short segmental fixation. Methods: Patients with thoracolumbar fractures admitted between January 2018 and Octo ber 2021 were retrospectively analyzed, and those meeting the criteria were assigned to the EPR group and the intermediate screws (IS) group. The vertebral wedge angle (VWA), Cobb angle (CA), anterior vertebral body height (AVBH), middle vertebral body height (MVBH), upper endplate line (UEPL), upper intervertebral angle (UIVA), and upper intervertebral disc height (UIDH) indices were examined and compared preoperatively, first day postop eratively, as well as at 12 months postoperatively. Results: The result indicated that the EPR group achieved better MVBH reduction (p < 0.001), UEPL reduction (p < 0.001), vertebral body fracture healing (p = 0.006), as well as implant breakage (p = 0.04) than the IS group; VWA (p < 0.001), CA (p = 0.005), AVBH (p < 0.001), MVBH (p < 0.001), UEPL (p < 0.001), and UIDH (p < 0.001) were lost after reduction less than those in the IS group. There was no significant difference in operative time (p = 0.315) and intraoperative bleeding (p = 0.274) between the 2 groups. Conclusion: The EPR group achieved better results in repositioning and maintaining MVBH and endplate morphology, with less correction loss after the reduction of the VWA, CA, AVBH, and endplate morphology. The EPR group exhibited a better healing pattern after vertebral fracture and disc degeneration was better relieved.

#Direct reduction #Endplate reduction #Bone graft #Disc degeneration

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!