Cause Analysis and Remedial Measures of Nonunion Factors for Operative Treatment of Lumbar Vertebrae Fractures in Wushu Athletes the air Pollution

Huiying Dai

Ekoloji, 2019, Issue 108, Pages: 241-245

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Abstract

The nonunion for Lumbar vertebrae fracture treated by surgery will affect not only the patient's quality of life, but also their daily training. This study aims to analyze the factors that cause the nonunion for operative treatment of Lumbar vertebrae fracture and put forward the active and effective remedial measures. Materials and methods: 1,250 cases of lumbar vertebral fractures of wushu athletes admitted to our hospital from May 2010 to May 2015 under environmental pollution were selected as the research objects. Among them, 656 patients were treated with manipulative reduction and external fixation, and the other 594 patients were treated with open reduction and internal fixation. After the operation, 80 cases of nonunion occurred, including 22 cases of common plate fixation, 24 cases of pure wire cerclage fixation, 18 cases of internal fixation with Kirschner wire and 16 cases of joint wire cerclage internal fixation with Kirschner wire respectively. Then the 80 cases of nonunion were applied with pelvic reconstruction plate fixation and autogenous cancellous bone graft fixation. After the operation, they should be fixed with abducent bracket for 6 weeks, examined through X-ray and observed for healing condition. Meanwhile, the reasons of nonunion in different patients should be concluded. Results: Follow-up examination were conducted for the patients for 3 consecutive years after the surgery, and results showed that all the 80 patients were fully healed in 15 -25 weeks after the operation, with union rate reaching 100%. Conclusion: The application of open reduction and internal fixation in the treatment of lumbar vertebrae fracture causes higher nonunion rate and involves multiple nonunion causes. Therefore, in-depth analysis of nonunion factors should be carried out and active and effective remedial measures should be implemented to improve curative effect, so that patients can get rehabilitation as soon as possible.

References

  • Li W, Jia MX, Deng J, Wang JH, Lin QL, Tang JX, Zeng XX, Cai F, Ma L, Su W, Liu XY, Liu C, Wang SS (2019) Down-regulation of microRNA-200b is a potential prognostic marker of lung cancer in southern-central Chinese population. Saudi Journal of Biological Sciences 1 (26): 173-177.
  • Liu DD, Wu XM, Mao NF, Ji XR, Xia Y, Zhou PY, Xu SG, Kang YF (2013) Analysis and Solutions of Lumbar vertebrae fracture Fixation Failure. Progress in Modern Biomedicine 10 (30): 5892-5895.
  • Pang ZL (2007) Cause Analysis and Remedy of Nonunion Factors for Operative Treatment of Lumbar vertebrae fracture. Orthopedic Journal of China 12 (22): 1743-1745.
  • Yang J, Lu J, Zeng XF, Zhang WR, Wang W (2015b) Factors for Nonunion After Non-operative Treatment of Mid-Shaft Lumbar vertebrae fractures Based on Logistic Analysis. Chinese Journal of Urban and Rural Enterprise Hygiene 11 (06): 151-153.
  • Yang Y, Wang YW, Ma JX, Ma XL, Jin HB (2015a) Risk Factors for Nonunion After Nonoperative Treatment of Mid-Shaft Lumbar vertebrae fractures. Orthopedic Journal of China 24 (22): 2067-2069.
  • Yin XL, Jia QF, Zhang GY, Zhang JP, Shirao T, Jiang CX, Yin XY, Liu YS, Chen P, Gu XC, Qian ZK, Yin GZ, Xia HS, Hui L (2019) Association between decreased serum TBIL concentration and immediate memory impairment in schizophrenia patients. Scientific Reports 9 (1622)