Document Type : Research articles
Authors
1 Department of Orthopedics, Guang'anmen Hospital South Campus, China Academy of Chinese Medical Sciences, Beijing 102600, China.
2 Department of Surgical, Guang'anmen Hospital South Campus, China Academy of Chinese Medical Sciences, Beijing 102600, China.
Abstract
Background: Lumbar spine fracture is one of the most common spinal fractures. Following lumbar vertebra surgery, prolonged bed rest is required, leading to increased negative emotions and various complications that hinder recovery. Therefore, it is necessary to develop effective interventions during the operation.
Objective: To assess the application effect of rapid rehabilitation intervention in posterior lumbar laminectomy decompression, resection of nucleus pulposus, and pedicle nail internal fixation for patients with lumbar fracture.
Methods: We randomly assigned 134 patients with lumbar fractures who received treatment in our hospital from May 2019 to September 2022 to either the research group (RG) or the control group (CG), with 67 patients in each group. In addition to the basic intervention, the RG received rapid rehabilitation intervention, while the CG only got the basic intervention. The study compared intraoperative blood loss, operation and hospitalization periods; the scores of the visual analog score (VAS), Japanese orthopaedic association (JOA), and Oswestry Disability Index (ODI); the incidence of complications; and satisfaction with the intervention in both groups.
Results: The RG had less blood loss and shorter surgery and hospital stay than the CG (P<0.05). The RG exhibited lower VAS and ODI scores but higher JOA scores than the CG (P<0.05). The occurrence of postoperative complications in the RG was decreased in comparison to the CG (P<0.05). The total intervention satisfaction was higher in the RG than in the CG (P<0.05).
Conclusion: Rapid rehabilitation intervention can accelerate the recovery of the condition, improve the dysfunction, reduce the occurrence of complications in patients with lumbar fracture surgery, and thereby boost intervention satisfaction, which is worthy for clinical promotion.
Keywords
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