[Treatment of late thoracolumbar fracture by transpedicular decompression using "PUMC trephine" 26 cases report].
OBJECTIVE
To introduce a new operation to treat late thoracolumbar fracture cases with neurological deficit or with kyphosis.


METHODS
26 cases were treated with "PUMC trephine" (designed by professor Ye Qibin).


RESULTS
The kyphosis was (29.7 +/- 14.5) degrees Cobb's angle in pre-operation and (10 +/- 11.8) degrees in post-operation (P < 0.01). The angle of correction was (19.7 +/- +9.9) degrees. The height of the anterior edge of traumatic-vertebra was (16.3 +/- 5.7) mm in pre-operation and (22.2 +/- 6.3) mm in post-operation. The corrected height was (6.5 +/- 3.2) mm. The neurological deficit also got a better recovery in 17 of 19 cases, 12 of 15 cases obtained complete cure of incontinence. 11 of 15 case had sexual function recovery after following up 1-9 years (average 5.2 years) cases.


CONCLUSIONS
Using "PUMC trephine" procedure was a new, simple, safety and less-traumatic technique for treatment of late thoracolumbar fracture through posterior approach.
Du
X
X
Department of Orthopedic Surgery, PUMC Hospital, CAMS and PUMC, Beijing 100730.
Xiao
Z
Z
Ye
Q
Q
Lin
J
J
Wang
Y
Y
D000328:Adult; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D016103:Spinal Fractures / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000293:injuries*