Zhang B, Wang JC, Jiang YZ, Song QP, An Y. Effectiveness and postoperative rehabilitation of one-stage combined anterior-posterior surgery for severe thoracolumbar fractures with spinal cord injury. World J Clin Cases 2022; 10(18): 6001-6008 [PMID: 35949859 DOI: 10.12998/wjcc.v10.i18.6001]
Corresponding Author of This Article
Bo Zhang, MD, Chief Doctor, Neurosurgeon, Professor, Surgeon, Department of Spine Surgery, Beijing Jishuitan Hospital, No. 31 East Street, Xinjiekou, Xicheng District, Beijing 100035, China. jishuitanjizhu@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
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World J Clin Cases. Jun 26, 2022; 10(18): 6001-6008 Published online Jun 26, 2022. doi: 10.12998/wjcc.v10.i18.6001
Table 1 Comparison of basic information
Groups
Male/female
Age (yr)
Causes of injury (Falling injury/traffic accidents/falling from heights)
Preoperative ASIA grade(B/C/D)
Frankel classification (A/B/C/D)
Preoperative AO classification (A3/B3/C2)
BMI (kg/m2)
Group 1 (n = 60)
35/25
45.37 ± 4.24
13/32/15
13/22/25
13/18/15/14
13/35/12
23.75 ± 1.69
Group 2 (n = 60)
29/31
45.26 ± 4.09
16/29/15
12/20/28
15/20/12/13
15/30/15
23.84 ± 1.76
χ2/t value
1.205
0.145
0.4579
0.305
0.619
0.861
0.286
P value
0.272
0.885
0.7954
0.859
0.892
0.650
0.776
Table 2 Comparison of the surgical indicators (mean ± SD)
Groups
Blood loss (mL)
Incision length (cm)
Operating time (min)
Intraoperative X-rays
Length of hospital stay (d)
Group 1 (n = 60)
748.28 ± 74.69
6.97 ± 0.62
145.79 ± 14.63
18.77 ± 1.63
12.89 ± 1.67
Group 2 (n = 60)
625.71 ± 62.43
7.14 ± 0.75
125.28 ± 12.07
19.05 ± 1.52
12.48 ± 1.43
t value
9.753
1.353
8.376
0.973
1.444
P value
0.001
0.179
0.001
0.332
0.151
Table 3 Comparison of the function of the affected vertebrae (mean ± SD)
Group
Anterior vertebral height ratio of the affected vertebra (%)
Posterior vertebral height ratio of the affected vertebra (%)
Cobb angle (°)
Canal-occupying ratio of the affected vertebra (%)
Before
After
Before
After
Before
After
Before
After
Group 1 (n = 60)
61.86 ± 6.20
91.97 ± 7.12
89.74 ± 8.51
97.52 ± 1.66
27.54 ± 2.71
5.11 ± 0.53
66.12 ± 6.17
13.09 ± 1.23
Group 2 (n = 60)
61.57 ± 6.25
89.20 ± 6.16
89.43 ± 8.62
95.40 ± 2.35
27.68 ± 2.62
7.09 ± 0.75
66.63 ± 6.41
12.87 ± 1.45
t value
0.255
2.279
0.198
5.708
0.288
16.700
0.444
0.896
P value
0.799
0.024
0.843
0.001
0.774
0.001
0.658
0.372
Table 4 Comparison of the quality of life scores between the two groups (mean ± SD)
Group
Activities of daily living
Spirit
Sleep
Appetite
Before
After
Before
After
Before
After
Before
After
Group 1 (n = 60)
35.78 ± 5.61
51.13 ± 2.04
32.91 ± 6.23
48.72 ± 5.45
36.47 ± 4.52
50.87 ± 1.69
33.96 ± 5.12
52.41 ± 1.37
Group 2 (n = 60)
36.02 ± 5.77
44.81 ± 3.62
33.80 ± 6.14
42.36 ± 5.22
36.68 ± 4.31
45.12 ± 2.78
34.03 ± 5.08
46.89 ± 2.65
t value
0.200
10.203
0.683
5.653
0.226
11.856
0.065
12.413
P value
0.842
0.001
0.497
0.001
0.822
0.001
0.948
0.001
Citation: Zhang B, Wang JC, Jiang YZ, Song QP, An Y. Effectiveness and postoperative rehabilitation of one-stage combined anterior-posterior surgery for severe thoracolumbar fractures with spinal cord injury. World J Clin Cases 2022; 10(18): 6001-6008