Percutaneous short-segment pedicle screw placement without fusion in the treatment of thoracolumbar burst fractures: is it effective?: comparative study with open short-segment pedicle screw fixation with posterolateral fusion

2013 ◽  
Vol 155 (12) ◽  
pp. 2305-2312 ◽  
Author(s):  
Jung-Kil Lee ◽  
Jae-Won Jang ◽  
Tae-Wan Kim ◽  
Tae-Sun Kim ◽  
Soo-Han Kim ◽  
...  
Keyword(s):  
Comparative Study ◽  
Pedicle Screw ◽  
Screw Fixation ◽  
Pedicle Screw Fixation ◽  
Posterolateral Fusion ◽  
Screw Placement ◽  
Pedicle Screw Placement ◽  
Short Segment ◽  
Thoracolumbar Burst Fractures ◽  
Burst Fractures

Temporary short-segment pedicle screw fixation for thoracolumbar burst fractures: comparative study with or without vertebroplasty

2017 ◽  
Vol 17 (8) ◽  
pp. 1113-1119 ◽  
Author(s):  
Hiroyuki Aono ◽  
Keisuke Ishii ◽  
Hidekazu Tobimatsu ◽  
Yukitaka Nagamoto ◽  
Shota Takenaka ◽  
...  
Keyword(s):  
Comparative Study ◽  
Pedicle Screw ◽  
Screw Fixation ◽  
Pedicle Screw Fixation ◽  
Short Segment ◽  
Thoracolumbar Burst Fractures ◽  
Burst Fractures

Short term functional and neurological outcome of short segment pedicle screw fixation in unstable thoracolumbar burst fractures

2019 ◽  
Vol 10 (2) ◽  
pp. 35-39
Author(s):  
Gurumurthy B ◽  
◽  
Madhukesh Rudramurthy ◽  
Sujana Theja J S ◽  
Manjunatha D N ◽  
...  
Keyword(s):  
Pedicle Screw ◽  
Neurological Outcome ◽  
Screw Fixation ◽  
Pedicle Screw Fixation ◽  
Short Term ◽  
Short Segment ◽  
Thoracolumbar Burst Fractures ◽  
Burst Fractures

scholarly journals Analysis of outcome of percutaneous versus open pedicle screw fixation in the treatment of thoraco-lumbar spine fractures: a prospective comparative study

2021 ◽  
Vol 7 (2) ◽  
pp. 343
Author(s):  
Raj Kumar ◽  
Bhaskar Sarkar ◽  
Syed Ifthekar ◽  
Samarth Mittal ◽  
Pankaj Kandwal ◽  
...  
Keyword(s):  
Blood Loss ◽  
Comparative Study ◽  
Pedicle Screw ◽  
Vertebral Body ◽  
Operative Time ◽  
Screw Fixation ◽  
Pedicle Screw Fixation ◽  
Thoracolumbar Burst Fractures ◽  
Burst Fractures ◽  
Prospective Comparative Study

<p><strong>Background:</strong> Aim of the study was to evaluate the effectiveness between percutaneous and open pedicle screw fixation in the treatment of traumatic thoracolumbar burst fractures with spinal injury.</p><p><strong>Methods:</strong> A prospective comparative study including thirty patients with thoracolumbar burst fracture were equally divided into an open pedicle screw fixation (OPSF) group and a percutaneous pedicle screw fixation (PPSF) group. Demographic characteristics, clinical and radiological outcomes, and adverse events were assessed and compared between the 2 groups.</p><p><strong>Results:</strong> Demographic and clinical features including age, gender, fracture level, mechanism of injury and neurological status in both groups were not significantly different (all p&gt;0.05). The PPSF group exhibits significantly lower operative time, intraoperative blood loss, and hospital stay compared with the OPSF group (all p&lt;0.05). There was no significant difference in the sagittal Cobb′s angle (CA), fracture vertebral body angle (VBA), anterior vertebral body height (AVBH) on pre-operative, immediate post-operative and final follow up between the two surgical techniques (all p&gt;0.05). Visual analogue scale (VAS) remarkably decreased in both groups after surgery but difference was not statically significant (p=0.808). Common postoperative complications in both groups were superficial infections, pressure ulcer and urinary tract infection (UTI) worsening. Hardware failure was seen only in one case of PPSF group.</p><p><strong>Conclusions:</strong> Patients with thoracolumbar burst fractures can be effectively managed with PPSF/OPSF. There were no significant differences in radiological and clinical outcomes and post-op complications between 2 groups but blood loss, operative time and hospitalization stay were less in percutaneous group, which may represent a potential benefit.</p><p><strong> </strong></p>

Treatment of Thoracolumbar Burst Fractures with Polymethyl Methacrylate Vertebroplasty and Short-segment Pedicle Screw Fixation

Neurosurgery ◽  
2003 ◽  
Vol 53 (6) ◽  
pp. 1354-1361 ◽  
Author(s):  
Der-Yang Cho ◽  
Wuen-Yen Lee ◽  
Pon-Chun Sheu
Keyword(s):  
Pedicle Screw ◽  
Screw Fixation ◽  
Pedicle Screw Fixation ◽  
Vertebral Height ◽  
Short Segment ◽  
Thoracolumbar Burst Fractures ◽  
Kyphosis Correction ◽  
Burst Fractures ◽  
Group A ◽  
Group B

Abstract OBJECTIVES We aimed to evaluate the efficacy of reinforcing short-segment pedicle screw fixation with polymethyl methacrylate (PMMA) vertebroplasty in patients with thoracolumbar burst fractures. METHODS We enrolled 70 patients with thoracolumbar burst fractures for treatment with short-segment pedicle screw fixation. Fractures in Group A (n = 20) were reinforced with PMMA vertebroplasty during surgery. Group B patients (n = 50) were not treated with PMMA vertebroplasty. Kyphotic deformity, anterior vertebral height, instrument failure rates, and neurological function outcomes were compared between the two groups. RESULTS Kyphosis correction was achieved in Group A (PMMA vertebroplasty) and Group B (Group A, 6.4 degrees; Group B, 5.4 degrees). At the end of the follow-up period, kyphosis correction was maintained in Group A but lost in Group B (Group A, 0.33-degree loss; Group B, 6.20-degree loss) (P = 0.0001). After surgery, greater anterior vertebral height was achieved in Group A than in Group B (Group A, 12.9%; Group B, 2.3%) (P &lt; 0.001). During follow-up, anterior vertebral height was maintained only in Group A (Group A, 0.13 ± 4.06%; Group B, −6.17 ± 1.21%) (P &lt; 0.001). Patients in both Groups A and B demonstrated good postoperative Denis Pain Scale grades (P1 and P2), but Group A had better results than Group B in terms of the control of severe and constant pain (P4 and P5) (P &lt; 0.001). The Frankel Performance Scale scores increased by nearly 1 in both Groups A and B. Group B was subdivided into Group B1 and B2. Group B1 consisted of patients who experienced instrument failure, including screw pullout, breakage, disconnection, and dislodgement (n = 11). Group B2 comprised patients from Group B who did not experience instrument failure (n = 39). There were no instrument failures among patients in Group A. Preoperative kyphotic deformity was greater in Group B1 (23.5 ± 7.9 degrees) than in Group B2 (16.8 ± 8.40 degrees), P &lt; 0.05. Severe and constant pain (P4 and P5) was noted in 36% of Group B1 patients (P &lt; 0.001), and three of these patients required removal of their implants. CONCLUSION Reinforcement of short-segment pedicle fixation with PMMA vertebroplasty for the treatment of patients with thoracolumbar burst fracture may achieve and maintain kyphosis correction, and it may also increase and maintain anterior vertebral height. Good Denis Pain Scale grades and improvement in Frankel Performance Scale scores were found in patients without instrument failure (Groups A and B2). Patients with greater preoperative kyphotic deformity had a higher risk of instrument failure if they did not undergo reinforcement with vertebroplasty. PMMA vertebroplasty offers immediate spinal stability in patients with thoracolumbar burst fractures, decreases the instrument failure rate, and provides better postoperative pain control than without vertebroplasty.

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