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International Orthopaedics
Published in: International Orthopaedics 6/2016

Open Access 01-06-2016 | Original Paper

A comparison of three different surgical procedures in the treatment of type A thoracolumbar fractures: a randomized controlled trial

Authors: Jianhua Lyu, Kai Chen, Zhaohui Tang, Yu Chen, Ming Li, Qiulin Zhang

Published in: International Orthopaedics | Issue 6/2016

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Abstract

Purpose

The aim of the study was to evaluate the efficacy of three different surgical procedures in the treatment of type A thoracolumbar fractures.

Materials and methods

Between September 2012 and January 2015, a total of 90 patients with type A thoracolumbar fractures were randomly assigned into three groups of 30 each. Patients in group A, B, and C were treated with three-level percutaneous fixation, two-level percutaneous fixation, and three-level open fixation, respectively. Blood loss, duration of surgery, VAS scores, Cobb angles, and anterior height ratios of fractured vertebrae were collected for statistical analysis.

Results

The average follow-up was 17.7 months. Post-operative Cobb angles were significantly corrected and anterior height ratios of fractured vertebrae were well restored in all three groups (p < 0.01). Back pain was efficiently relieved according to VAS score change (p < 0.01). There were significant differences in values of blood loss and post-operative VAS scores (at three months) between group A and group C (p < 0.01). No significant difference concerning post-operative anterior height ratios of fractured vertebrae, Cobb angles and correction losses was observed between group A and group B (p = 0.580, 0.840, 0.215, respectively).

Conclusion

Percutaneous fixation not only provides the same reduction effect as open fixation, but also has an advantage of causing less operation related trauma which is beneficial to post-operative rehabilitation. The efficacy of three-level percutaneous fixation and two-level percutaneous fixation in the treatment of type A thoracolumbar fractures is not significantly different.
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Metadata
Title
A comparison of three different surgical procedures in the treatment of type A thoracolumbar fractures: a randomized controlled trial
Authors
Jianhua Lyu
Kai Chen
Zhaohui Tang
Yu Chen
Ming Li
Qiulin Zhang
Publication date
01-06-2016
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 6/2016
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-016-3129-z

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