Clinical Application of Spine Reductor Based on Radiological Parameters in Treatment of Thoracolumbar Fractures
Wei-hong, TANG Ji-ping, et al.
Shenzhen Luohu Hospital of Traditional Chinese Medicine, Shenzhen (518001), China
Abstract:
Objective To observe the therapeutic effect of spinal reduction device based on radiological parameters in the treatment of thoracolumbar vertebral compression fractures. Methods Eighty patients with thoracolumbar vertebral compression fractures were randomly divided into experimental group of stepless adjustable spinal repositioner (40 cases) and conservative control group of supine pillow (40 cases). The compression rate of the injured vertebral front, Cobb' s angle of kyphosis, visual analogue score of low back pain and Oswsetry dysfunction index were compared between the two groups before treatment, 14 d after treatment and 60 d after treatment. Results High compression rate of injured vertebral front: The high compression rate of injured vertebral front in the experimental group was significantly lower than those in the control group 14 d after treatment and 60 d after treatment (P<0.05); there was significant difference in the high compression rate of injured vertebral front between the two groups on X-ray films at different time points after treatment; there was significant difference in the high compression rate of injured vertebral front between the two groups on X-ray films. Statistical significance, time factor and grouping factor have interaction effect. Cobb' s angle of kyphosis: The Cobb' s angle of kyphosis in the experimental group was significantly lower than that in the control group 14 d after treatment and 60 d after treatment (P<0.05); the Cobb' s angle of kyphosis in the two groups had statistical significant difference at different time points of X-ray film before and after treatment; the Cobb' s angle of kyphosis in the X-ray film of the two groups had statistical significant difference. Inter-factors and grouping factors have interactive effects. VAS score of lumbar and back pain: The VAS scores of lumbar and back pain in the experimental group were significantly lower than that in the control group 14 d after treatment and 60 d after treatment, with statistical significance (P<0.05); the VAS scores of lumbar and back pain in the two groups at different time points before and after treatment were significantly different; the VAS scores of lumbar and back pain in the two groups were statistically different as a whole. There were interaction effects between time factor and grouping factor. ODI score results: ODI scores of the experimental group were significantly lower than those of the control group 14 d after treatment and 60 d after treatment, with statistical significant difference (P<0.05); ODI scores of the two groups at different time points before and after treatment had statistical significant difference; VAS scores of lumbar and back pain of the two groups had statistical significant difference, and there was no interaction between time factors and grouping factors. Conclusion Spinal reduction device based on radiological parameters can effectively restore the vertebral height of thoracolumbar vertebral compression fracture, and the curative effect is better than that of pillow control group. It is worthy of clinical application.
