Balloon kyphoplasty for the treatment of pathological fractures in the thoracic and lumbar spine caused by metastasis: one-year follow-up

Experience in surgical treatment of 11 patients (1998-2008) with complicated compression fractures of the thoracic and lumbar spine vertebral bodies on the background of osteoporosis has been presented. Mean age of patients was 58 years (from 37 to 74 years). The treatment consisted of the adequate decompression of spinal canal followed by correction and multilevel fixation of the spine with CDI system. Decision on the fixation extent was made with regard for the degree of bone mineral density and vertebral body injury. Follow up period made up 1-10 years. Long term treatment results were assessed clinically and roentgenologically. Correction of kyphosis was noted in all cases. In the late period slight loss of the achieved correction (within 12°) was observed but the patients did not complained of spinal pains. In patients operated on in early terms (up to 2 months) after neurologic complications development the more rapid regress of neurologic symptoms was noted. It was shown that differentiated approach to the choice of surgical technique enabled to achieve favorable results.

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Ten-year follow-up results of posterior instrumentation without fusion for traumatic thoracic and lumbar spine fractures

Journal of Orthopaedics ◽

10.1016/j.jor.2016.06.021 ◽

2016 ◽

Vol 13 (4) ◽

pp. 301-305 ◽

Cited By ~ 2

Author(s):

Ozcan Kocanli ◽

Baran Komur ◽

Tahir Mutlu Duymuş ◽

Bulent Guclu ◽

Barış Yılmaz ◽

...

Keyword(s):

Lumbar Spine ◽

Posterior Instrumentation ◽

Spine Fractures ◽

Thoracic And Lumbar Spine

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Short-segment compression instrumentation for selected thoracic and lumbar spine fractures: the short-rod/two-claw technique

Journal of Neurosurgery ◽

10.3171/jns.1993.79.3.0335 ◽

1993 ◽

Vol 79 (3) ◽

pp. 335-340 ◽

Cited By ~ 23

Author(s):

Edward C. Benzel

Keyword(s):

Lumbar Spine ◽

Fracture Site ◽

Spine Fractures ◽

Short Segment ◽

Content Type ◽

Scoliotic Deformity ◽

Spine Instrumentation ◽

Thoracic And Lumbar Spine ◽

Fine Print

✓ The short-rod/two-claw (SRTC) technique of spine instrumentation was recently introduced for the treatment of thoracic and lumbar spine fractures. The use of this technique in 10 patients harboring wedge compression or burst fractures of the thoracic or lumbar spine is described. Of three patients treated with the construct placed in a distraction mode, the average follow-up loss of angle (the difference between the immediate postoperative and follow-up midsagittal angle as measured on x-ray films) was 18.3°. Of the seven patients in whom the instrumentation was placed in a compression mode, the average observed loss of angle at follow-up examination was 1.6°. Two patients had a preoperative scoliotic deformity at the fracture site. and both deformities were exaggerated by the placement of the SRTC technique in compression. Although no patient experienced an adverse outcome and all achieved a solid fusion, the application of the SRTC technique of universal spine instrumentation in distraction was associated with an exaggerated loss of angle. Loss of angle and deformity exaggeration are not desirable and are preventable by strict patient selection and by applying the construct in a compression mode. It is emphasized that few patients are candidates for this form of instrumentation. When applicable. however, the advantages of decreased pain and stiffness and the elimination of the need for instrumentation removal make the SRTC and related short-segment techniques desirable alternatives to traditional methods of spinal fixation.

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THORACOLUMBAR BURST FRACTURE: STRUCTURAL CHANGES AND CLINICAL OUTCOME OF TREATMENT

Coluna/Columna ◽

10.1590/s1808-185120161501150411 ◽

2016 ◽

Vol 15 (1) ◽

pp. 68-72

Author(s):

Rodrigo Arnold Tisot ◽

Juliano Silveira Luiz Vieira ◽

Orley Fauth Tisot ◽

Renato Tadeu dos Santos ◽

Augusto Alves Badotti ◽

...

Keyword(s):

Lumbar Spine ◽

Clinical Outcome ◽

Neurological Deficit ◽

Spinal Canal ◽

Structural Changes ◽

Life Questionnaire ◽

Burst Fractures ◽

Sf 36 ◽

Thoracic And Lumbar Spine

ABSTRACT Objective: To evaluate the correlation between structural changes in burst fractures of thoracic and lumbar spine with clinical outcome of the treatment. Methods: A retrospective study in 25 patients with fractures of thoracic and lumbar spine burst fractures without neurological deficit. Eleven patients underwent conservative treatment and for the remaining the treatment was surgical. All patients were followed up for at least 24 months. The cases were evaluated by a protocol that included: posttraumatic measurement of kyphosis, vertebral body collapse and narrowing of the spinal canal, the visual analog scale of pain, and the quality of life questionnaire SF-36 at the follow-up. For statistical analysis, the significance level was 5% and the software SPSS 18.0 was used. Results: No statistically significant difference was observed when comparing the clinical outcomes of one treatment over another. Similarly, there was no statistically significant correlation between kyphosis and post-traumatic narrowing of the spinal canal with clinical worsening in the follow-up, regardless of the treatment used. We found a positive correlation (p<0.05) between initial collapse and SF-36 domains in both groups (operated and non-operated). Conclusion: There was no significant superiority of one treatment over the other, and no correlation was found between kyphosis and spinal canal narrowing in burst fractures of the thoracic and lumbar spine without neurological deficit. However, there was correlation between initial collapse and clinical outcome in some domains of the SF-36 questionnaire.

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Outcome of modified interlaminar decompression: A conservative decompressive surgery for lumbar spine stenosis

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.36.4.1170 ◽

2020 ◽

Vol 36 (4) ◽

Author(s):

Farooq Azam ◽

Seema Sharafat ◽

Zahid Khan ◽

Mumtaz Ali

Keyword(s):

Lumbar Spine ◽

Decompressive Surgery ◽

Degenerative Lumbar Spinal Stenosis ◽

Creative Commons ◽

One Year ◽

Complication Of Surgery ◽

Lumbar Spinal ◽

Open Access Article ◽

Structured Questionnaire

Objective: To evaluate the outcomes of modified interlaminar decompression in patients with degenerative lumbar spinal stenosis (LSS). Methods: This descriptive observational study was conducted at the Department of Neurosurgery, Lady Reading Hospital Peshawar from July 2014 to June 2018. All patients with degenerative LSS who underwent modified interlaminar decompression during the study period were included in the study. The patients were followed up to one year after surgery. The data was entered into a structured questionnaire designed according to the study which was then analyzed using SPSS version 21. Results: A total of 182 LSS cases were included in the study and 236 levels were operated during the study period. According to the records increased prevalence of LSS was found among males i.e. 58.8%. The common level with degenerative stenosis involved was L4-5. Good to excellent outcomes were observed in 93.9% patients in the 1st follow-up visit. The most common complication of surgery was dural tear followed by wound infection. Conclusion: Modified interlaminar decompression is a conservative surgical technique, proved to be a potential approach with acceptable complications, satisfactory outcomes and it is easy to learn. doi: https://doi.org/10.12669/pjms.36.4.1170 How to cite this:Azam F, Sharafat S, Khan Z, Ali M. Outcome of modified interlaminar decompression: A conservative decompressive surgery for lumbar spine stenosis. Pak J Med Sci. 2020;36(4):---------. doi: https://doi.org/10.12669/pjms.36.4.1170 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Possibilities of Transpedicular Osteosynthesis in Treatment of Thoracic and Lumbar Spine Injuries

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto200411468-74 ◽

2004 ◽

Vol 11 (4) ◽

pp. 68-74

Author(s):

A A Afaunov ◽

V D Usikov ◽

A I Afaunov ◽

A A Afaunov ◽

V D Usikov ◽

...

Keyword(s):

Lumbar Spine ◽

Fixation Device ◽

Loss Of Correction ◽

Spine Injuries ◽

Thoracic And Lumbar Spine ◽

Different Types ◽

Local Kyphosis ◽

External Fixation Device ◽

Vertical Size

Results of surgical treatment of 84 patients with thoracic and lumbar spine injuries using transpedicular osteosynthesis are presented. The patients were operated on within the terms from 2 days to 3.5 years after trauma. Different types of surgical reposition were used depending on the terms after injury and value of deformity. In 51 patients anterior corporodesis was performed. Average correction of local kyphosis was from 7.4° to 17.7° in different groups of patients. Vertical size of inured segments was restored up to 63.8-92%. Suggested method of intraoperative spine reposition enabled to increase the correction volume 1.7-2 times in late terms after injury. In severe deformities preliminary stage, i.e. transpedicular osteosynthesis using external fixation device with gradual correction over 35° was used. Complications - fracture of longitudinal rod (3 cases), partial destabilization of spine column in osteoporosis (2 cases), as well as loss of correction by 2-3° (9 cases) and 6-15° (3 cases) did not influence the outcomes significantly. In 48 patients the follow-up period was over 1 year. In 44 patients good results were achieved and satisfactory result was noted in 4 patients.

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Schwannoma of the lumbar spine

JBNC - JORNAL BRASILEIRO DE NEUROCIRURGIA ◽

10.22290/jbnc.v21i2.831 ◽

2018 ◽

Vol 21 (2) ◽

pp. 115-117

Author(s):

Manoel Baldoino Leal Filho ◽

Raimundo Gerônimo Da Silva Júnior ◽

Luciana Maria Pinheiro Leal

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Spine ◽

Low Back ◽

Common Occurrence ◽

Resonance Imaging ◽

Important Improvement ◽

Magnetic Resonance Imaging Mri ◽

One Year

Objective: To show a case of lumbar spine schwannoma that presented with low back pain and sciatica. Case: A patient that presented with low back pain and sciatica. The Gadoliniumenhanced Magnetic Resonance Imaging (MRI) showed a lumbar L4-L5 schwannoma. He underwent lumbar laminotomy and intradural microsurgery. The lesion was totally removed. There was an important improvement on postoperative and at one-year follow up MRI showed no tumor. Conclusion: The authors stress that spine schwannoma should be considered inthe differential diagnosis of a patient experiencing symptoms of disc herniation, a disease of more common occurrence.

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The Impact of Body Weight Change on Bone Mineral Density of the Lumbar Spine in Perimenopausal Women: A Retrospective, One-year Follow-up Study

Korean Journal of Family Medicine ◽

10.4082/kjfm.2011.32.4.219 ◽

2011 ◽

Vol 32 (4) ◽

pp. 219 ◽

Cited By ~ 5

Author(s):

Ha-Rin Lee ◽

Sung-Soo Hong ◽

Sang-Yeoup Lee ◽

Young-Hye Cho ◽

Hyun-Ji Park ◽

...

Keyword(s):

Bone Mineral Density ◽

Body Weight ◽

Lumbar Spine ◽

Body Weight Change ◽

Mineral Density ◽

Follow Up Study ◽

Perimenopausal Women ◽

One Year ◽

The Impact

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Outcome analysis of surgically managed unstable burst fracture

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20160340 ◽

2015 ◽

Vol 1 (1) ◽

pp. 3

Author(s):

Ganesan G. Ram ◽

P. V. Vijayaraghavan ◽

Kannan Karthik Kailash

Keyword(s):

Lumbar Spine ◽

Bone Graft ◽

Neurological Deficit ◽

Unstable Fracture ◽

Anterior Decompression ◽

Loss Of Correction ◽

Burst Fractures ◽

Cord Injury ◽

Thoracic And Lumbar Spine

Background:Burst fractures are common injuries of dorsolumbar spine. In indicated cases, surgery is the treatment of choice. Significant controversy exists regarding surgical intervention for these fractures. Posterior decompression, anterior decompression and instrumentation, and combined anterior decompression and posterior instrumentation have been recommended in various studies. Here we are going to evaluate unstable burst fractures of thoracic and lumbar spine treated by isolated anterior decompression and instrumented fusion with TSM-Bone graft composite.Methods: Prospective study of thirty-six cases of unstable fracture of thoracic and lumbar spine treated in Sri Ramachandra Medical centre from January 2011 to January 2014. The inclusion criteria were burst fractures of thoracic or lumbar spine complete or incomplete neurological deficit and burst fractures of thoracic or lumbar spine without neurological deficit but with mechanical instability. The exclusion criteria were pathological fractures, chance fracture, stable burst, wedge compression and osteoporotic compression fractures. The results were analyzed during the follow-up using the Pain – Visual analogue scale, Fusion status and radiographic parameter – K-angle .For pain score were given as 3,2,1 for absent, moderate and severe pain respectively. Regarding fusion status score of 3,2,1 were given when fusion was good, fair and no sign of fusion respectively.Results:Mean pre-operative K-angle was 28o. Average loss of correction at final follow up was 3o.Mean correction of K-angle was 140.Moderate to severe loss of correction of K- angle was observed in 4 patients. Mild to moderate pain in 5 patients treated with analgesics. Average TSM subsidence was 3mm.Conclusions:Bone graft composite provides stable biomechanical support to deficient anterior column in burst fractures and allows early rehabilitation and mobilization. Neural recovery may occur after anterior decompression, stabilization and fusion with TSM-Bone graft composite in dorsolumbar burst fractures with incomplete cord injury.

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