Abstract：【Objective】 To investigate the clinical efficacy of fixation of the injured vertebrae and reconstruction of the posterior ligament complex for the treatment of thoracolumbar burst fractures. 【Methods】 From June 2012 to June 2018, 160 patients with thoracolumbar burst fractures were treated with laminectomy, injured vertebrae fixation and reconstruction of the posterior ligament complex. Among them, there were 112 males and 48 females, aged from 18 to 58 (36.10±7.43) years old. The degree of vertebral body reduction and fracture healing were analyzed. 【Results】 The patients were followed up for 8 to 61 months, with an average of (38.40±6.36) months. Among the 160 patients, 153 cases of spinal fracture healed on schedule, accounting for 95.63%; And 6 cases of delayed fracture healing, accounting for 3.75%. The total healing rate was 99.38%. The X-ray results showed that the height of the injured vertebrae recovered and no internal fixation occurred unexpectedly. The ASIA classification of spinal cord function increased by 1 to 3. 【Conclusion】 Fixing and reconstructing the posterior ligament complex through the injured vertebra can effectively avoid spinal instability and internal fixation accidents. The clinical curative effect is excellent and it is an effective method for the treatment of thoracolumbar burst fractures.
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2020, Vol. 37 
