Abstract：Objective To study the clinical effect of poking reduction and bone graft on the treatment of thoracolumbar vertebral compression fracture. Methods All of 49 patients who had single segment of thoracolumbar compression fracture underwent operation in the period of October 2010 to August 2012. According to the operation methods, they were divided into 2 groups.Group A (23 patients) underwent poking reduction and bone graft treatment. Group B (26 patients) received short segment pedicle screw fixation. The VAS score, recovery of vertebral body, improvement of Cobb angle, operative time, and blood loss were compared between them. Results All operations were successful without spinal cord and nerves injury. The postoperative follow-up ranged 14-26 months. At 1 week after the operation and at the final follow-up, both of the 2 groups had significant difference in average vertebral height,local Cobb angle, and VAS score when compared with pre-operative level(P<0.05). But group A had advantage in vertebral height restoration, kyphosis angle rectification and VAS score improvement (P<0.05). Conclusions As an effective method for treating thoracolumbar vertebral compression fracture, poking reduction and bone graft have the characteristic of reducing vertebral height loss and avoiding the shell-like vertebral development.
王善夫,李光磊,李怡然,王立刚. 撬拨复位联合椎体内植骨治疗胸腰椎压缩骨折的疗效[J]. 武警医学, 2016, 27(2): 140-142.
WANG Shanfu, LI Guanglei, LI Yiran, WANG Ligang. Poking reduction and bone graft in the treatment of thoracolumbar vertebral compression fracture. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(2): 140-142.
Shi J, Mei X, Liu J, et al. The influence of correction loss in thoracolumbar fractures treated by posterior instrumentation: a minimum 7-year follow-up[J]. J Clin Neurosci, 2011, 18(4): 500-503.
2016, Vol. 27 
