Modified Pedicle Subtraction Osteotomy as a Salvage Method for Failed Short-Segment Pedicle Instrumentation in the Treatment of Thoracolumbar Fracture

2016 ◽  
Vol 29 (3) ◽  
pp. E120-E126 ◽  
Author(s):  
Fei Chen ◽  
Yijun Kang ◽  
Haisheng Li ◽  
Guohua Lv ◽  
Chang Lu ◽  
...  
Keyword(s):  
Pedicle Subtraction Osteotomy ◽  
Thoracolumbar Fracture ◽  
Short Segment

scholarly journals Short segment pedicle screw fixation of thoracolumbar fracture: a case series of 33 patients

2017 ◽  
Vol 3 (4) ◽  
pp. 681
Author(s):  
Naushad Hussain ◽  
Nirmal Dhananjay Patil ◽  
Hiren Patel ◽  
Akash Shakya
Keyword(s):  
Pedicle Screw ◽  
Screw Fixation ◽  
Wedge Angle ◽  
Body Height ◽  
Pedicle Screw Fixation ◽  
Thoracolumbar Fracture ◽  
Vertebral Body Height ◽  
Short Segment ◽  
Screw Insertion

<p class="abstract"><strong>Background:</strong> Pedicle screw instrumentation in case of fracture spine provides stable fixation. However in absence of experience and proper technique of pedicle screw insertion, it is associated with many complications. We aim to study the results of patients with thoracolumbar fracture stabilized with short segment pedicle screw instrumentation.</p><p class="abstract"><strong>Methods:</strong> 33 cases of thoracolumbar wedge compression fracture spine presenting to Nair Hospital were included in the study. All patients were operated by the senior author via a posterior approach and short segment pedicle screw fixation. Patients were followed up for one year.<strong></strong></p><p class="abstract"><strong>Results:</strong> 33 patients with a mean age were 37.6 years of which 3 were females and 30 were males in our study. Fall from height (93.93%) was the most common mode of injury followed by road traffic accident (6.07%). D12 and L1 were the most common vertebrae involved. Statistically significant (p=0.01) correction in the vertebral body height occurred in the immediate postop period and there was 4.1% loss of correction at final follow-up. There was statistically significant improvements in the Regional angle (p=0.03) and anterior wedge angle (p=0.03). Residual regional angle at final follow-up was found to be &gt;5° in 3 patients. Neurological improvement was seen in 23 (74.19%) patients (p=0.01). No improvements were seen in 8 (25.81%) patients. None of our patients had postoperative worsening of the neurological status. None of the patients had pedicle wall breach on final follow up CT scan.</p><p class="abstract"><strong>Conclusions:</strong> Short segment fixation in case of wedge fracture can restore the vertebral body height, mean regional angle and mean anterior wedge angle and provide good outcome. There are poor chances of recovery of patient with Frankel grade A. Meticulous dissection and careful technique of pedicle screw insertion, adequate decompression, good contouring of the rod with correction of kyphosis can provide excellent results.</p>

scholarly journals Short segment versus long segment posterior pedicular fixation of thoracolumbar fracture

2017 ◽  
Vol 59 (3) ◽  
pp. 204-208
Author(s):  
Hayder A. Alhemiary ◽  
◽  
Dhuha F. Almayoof ◽  
Keyword(s):  
Thoracolumbar Fracture ◽  
Short Segment ◽  
Segment Versus

scholarly journals Posterior short segment pedicle screw fixation for the treatment of thoracolumbar fracture

2020 ◽  
Vol 35 ◽  
Author(s):  
Mourad Aoui ◽  
Nizar Sahnoun ◽  
Mohamed Abid ◽  
Mahdi Maatoug ◽  
Majdi Hsairi ◽  
...  
Keyword(s):  
Pedicle Screw ◽  
Screw Fixation ◽  
Pedicle Screw Fixation ◽  
Thoracolumbar Fracture ◽  
Short Segment

scholarly journals A finite element study on posterior short segment fixation combined with unilateral fixation using pedicle screws for stable thoracolumbar fracture

Medicine ◽  
2018 ◽  
Vol 97 (34) ◽  
pp. e12046 ◽  
Author(s):  
Yunshan Su ◽  
Xiongfei Wang ◽  
Dong Ren ◽  
Yueju Liu ◽  
Shaoming Liu ◽  
...  
Keyword(s):  
Finite Element ◽  
Pedicle Screws ◽  
Thoracolumbar Fracture ◽  
Short Segment ◽  
Finite Element Study ◽  
Short Segment Fixation ◽  
Element Study

scholarly journals Outcomes of Thoracolumbar Fracture-Dislocation Managed by Short-Segment and Long-Segment Posterior Fixation: A Single-Center Retrospective Study

10.14444/8006 ◽  
2021 ◽  
Vol 15 (1) ◽  
pp. 55-61
Author(s):  
Samarth Mittal ◽  
Syed Ifthekar ◽  
Kaustubh Ahuja ◽  
Bhaskar Sarkar ◽  
Gobinder Singh ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Thoracolumbar Fracture ◽  
Fracture Dislocation ◽  
Posterior Fixation ◽  
Single Center ◽  
Short Segment

Which patients risk segmental kyphosis after short segment thoracolumbar fracture fixation with intermediate screws?

Injury ◽  
2016 ◽  
Vol 47 ◽  
pp. S29-S34 ◽  
Author(s):  
Matteo Formica ◽  
Luca Cavagnaro ◽  
Marco Basso ◽  
Andrea Zanirato ◽  
Lamberto Felli ◽  
...  
Keyword(s):  
Fracture Fixation ◽  
Thoracolumbar Fracture ◽  
Short Segment
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