AIHUA YANG1, JIANGUANG CAI2
1School of Physical Education, Changsha University of Science and Technology, Changsha, 410076, China - 2School of Sports, Hunan University of Science and Technology, Xiangtan, 411201, China
Objective: This paper aims to evaluate specific role of thoracolumbar injury classification and severity score in treatment of volleyball-induced thoracolumbar fractures, and to provide reference for choice of clinical treatment plan.
Methods: The 112 patients with volleyball-induced thoracolumbar fractures treated in our hospital from June 2014 to December 2015 were selected as the subjects. Thoracolumbar injury classification and severity (TLICS) score was evaluated according to the individual injury, neurological function and integrity of posterior ligament complex. The treatment plan was determined according to the score. There were 17 cases with score minus 4 points, who were treated with conservative treatment; 70 cases with score above 4 points, who were treated with surgical treatment; for those with score equal to 4 points, 16 cases received surgical treatment and 9 cases received conservative treatment according to individual circumstances. The anterior ver- tebral height, cobb angle and oswestry disability index (ODI) were compared before and after the treatment. And excellent rates of surgical treatment and conservative treatment were compared.
Results: All patients were followed up for 12-24 months. As can be seen from the results, after treatment, cobb angle, ante- rior vertebral height were significantly improved on the average for the 112 patients, with P <0.05 in comparison before and after the treatment, so there is a statistical significance; ODI score results showed that excellent rates were 88.46% (23/26) and 90.69% (78/86) respectively for conservative treatment and surgical treatment, so the two regimens provide good therapeutic effect, with difference P> 0.05, and there is no statistical difference.
Conclusion: Application of thoracolumbar injury classification and severity score can provide a scientific reference for choice of clinical treatment for patients with volleyball-induced thoracolumbar fractures, further improve patient's condition and ensure excellent rate of treatment.
Thoracolumbar injury severity score, Volleyball, Thoracolumbar fracture, Therapeutic significance