[Application of posterior short-segment fixation combined with intermediate screws in fresh thoracolumbar compressed fracture: short-term outcomes in 27 cases].
OBJECTIVE
To observe the short-term outcomes of the application of posterior short-segment fixation combined with intermediate screws in fresh thoracolumbar fracture.


METHODS
Posterior short-segment fixation combined with intermediate screws was used in 27 patients suffering from fresh thoracolumbar fracture, 19 males and 8 females, aged 45 (22-71). X-ray photography was conducted before and after operation.


RESULTS
The height of fractured vertebra was 57.6%+/-16.5% of the normal value before operation, and was restored to 93.8%+/-11.9% after operation; the segmental kyphosis angle on the sagittal plane was 20.8+/-9.4 degrees before operation, and decreased to 5.9+/-7.4 degrees after operation (both P<0.001).


CONCLUSIONS
Using pedicle screws on the fractured vertebra via posterior approach conditionally helps reduce the fractured vertebra and correct the kyphosis, and enhance the stiffness of the internal fixation system as well.
Dong
Shuang-hai
SH
Department of Orthopedics, First People's Hospital, Shanghai Jiaotong University, Shanghai 201620, China.
Tian
Ji-wei
JW
Wang
Lei
L
Xia
Tian
T
Zhao
Qing-hua
QH
D000328:Adult; D000368:Aged; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D016268:Internal Fixators; D008159:Lumbar Vertebrae / Q000293:injuries; D008297:Male; D008875:Middle Aged; D016103:Spinal Fractures / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000293:injuries; D016896:Treatment Outcome; D055815:Young Adult