Department for Trauma Surgery and Sports Medicine, Medical University Innsbruck, Anichstraße 35, 6020 Innsbruck, Austria.
Eur Spine J. 2011 Mar;20(3):395-402. doi: 10.1007/s00586-010-1615-3. Epub 2010 Oct 31.
Treatment of thoracolumbar fractures is still controversial. Several treatment options are reported to yield satisfactory results. There is no evidence indicating superiority of any treatment option. We have already presented radiological results of the use of PLIF/TLIF in trauma, which showed satisfactory results concerning intervertebral fusion and acceptable loss of correction. We examined 50 patients regarding loss of correction after implant removal and clinical outcome using a validated visual analogue score. The average time of follow-up (FU) was 35 months. We observed a total loss of correction of 4°. The pre-injury mean VAS score was 92. At FU, there was an average reduction of 17.2 points. Owing to the presented results, we suggest this method as an alternative to combined procedures.
胸腰椎骨折的治疗仍存在争议。有几种治疗方法报道疗效满意，但没有证据表明任何一种治疗方法具有优势。我们已经介绍了 PLIF/TLIF 在创伤中的影像学结果，结果显示椎间融合令人满意，矫正丢失也可接受。我们使用经过验证的视觉模拟评分法检查了 50 例患者在取出内固定后矫正丢失和临床结果。平均随访时间为 35 个月。我们观察到总矫正丢失为 4°。术前平均 VAS 评分为 92。随访时平均降低 17.2 分。鉴于这些结果，我们建议将该方法作为联合手术的替代方法。
