single-segment unstable thoracolumbar burst fracture
Conditions
Interventions
transpedicular pry reduction (TPR) technique following distraction:transpedicular pry reduction (TPR) technique following distraction
traditional distraction-only reduction:traditional distraction-only reduction
Sponsors
The First People's Hospital of Bengbu City
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age range: 18-60 years old, gender is not limited. 2. Fresh burst fracture of single segment thoracolumbar spine (T11-L2) (injury to surgery time 1/3, or kyphotic Cobb Angle>15 °, or spinal canal invasion>30% (measured by CT). 4. No neurological damage (ASIA grade E). 5. Sign a written informed consent form, voluntarily participate and be able to complete the follow-up.
Exclusion criteria
Exclusion criteria: 1. Combined spinal cord or nerve root injury (ASIA grades A-D). 2. Multi segmental spinal fractures or severe injuries in other areas require priority treatment. 3. Pathological fractures (tumors, infections, etc.). 4. Severe osteoporosis (dual energy X-ray absorptiometry bone density T value <= -3.0). 5. Have a history of spinal surgery at the same level in the past. 6. Unable to tolerate general anesthesia or posterior surgery. 7. Surgical contraindications include severe heart, lung, liver, kidney dysfunction, coagulation dysfunction, etc. 8. Unable to cooperate with research and follow-up due to mental illness or cognitive impairment. 9. Pregnant or lactating women. 10. Other situations that researchers consider unsuitable for inclusion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recovery rate of anterior vertebral body height after surgery (%); | — |
Secondary
| Measure | Time frame |
|---|---|
| Radiological indicators;Clinical Outcomes: VAS score;Safety Indicators; | — |
Countries
China
Contacts
Public ContactSheng Shi
The First People's Hospital of Bengbu City
Outcome results
None listed