scholarly journals The results of conservative treatment and short transpedicular fixation at burst fractures of thoracic and lumbar spine

2018 ◽  
Vol 0 (1) ◽  
pp. 19-28
Author(s):  
Volodymyr Radchenko ◽  
Konstantin Popsuishapka ◽  
Dmytro Chekryzhev ◽  
Sergii Teslenko
Keyword(s):  
Lumbar Spine ◽  
Conservative Treatment ◽  
Transpedicular Fixation ◽  
Burst Fractures ◽  
Thoracic And Lumbar Spine

scholarly journals Minimal Invasive Percutaneous Fixation of Thoracic and Lumbar Spine Fractures

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Federico De Iure ◽  
Michele Cappuccio ◽  
Stefania Paderni ◽  
Giuseppe Bosco ◽  
Luca Amendola
Keyword(s):  
Lumbar Spine ◽  
Minimally Invasive ◽  
Minimal Invasive ◽  
Minimally Invasive Technique ◽  
Radiographic Evaluation ◽  
Invasive Technique ◽  
Spine Fractures ◽  
Percutaneous Fixation ◽  
Transpedicular Fixation ◽  
Thoracic And Lumbar Spine

We studied 122 patients with 163 fractures of the thoracic and lumbar spine undergoing the surgical treatment by percutaneous transpedicular fixation and stabilization with minimally invasive technique. Patient followup ranged from 6 to 72 months (mean 38 months), and the patients were assessed by clinical and radiographic evaluation. The results show that percutaneous transpedicular fixation and stabilization with minimally invasive technique is an adequate and satisfactory procedure to be used in specific type of the thoracolumbar and lumbar spine fractures.

scholarly journals Análise da Revisão Cochrane: Fixação com Parafusos Pediculares de Fraturas Traumáticas da Coluna Vertebral Torácica e Lombar. Cochrane Database Syst Rev. 2013;05:CD009073.

2016 ◽  
Vol 29 (5) ◽  
pp. 297
Author(s):  
Daniela Vilas Boas Rosa Linhares ◽  
Nuno Neves ◽  
Manuel Ribeiro da Silva ◽  
João Almeida Fonseca
Keyword(s):  
Lumbar Spine ◽  
Bone Graft ◽  
Data Extraction ◽  
Donor Site ◽  
Pedicle Screw Fixation ◽  
Transpedicular Fixation ◽  
Radiological Parameters ◽  
Donor Site Pain ◽  
Thoracic And Lumbar Spine ◽  
Fixation Techniques

<p>Traumatic fractures of the thoracic and lumbar spine are common causes of spine surgery. Pedicle screw fixation is usually chosen, using monosegmentar, short or long segment instrumentations, with or without bone graft. This review aims to evaluate the effect of transpedicular fixation in traumatic fractures of the thoracic and lumbar spine. A systematic search on controlled, randomized or quasi-randomized trials comparing different methods of surgical treatment of this fractures was performed, followed by a process of article selection, data extraction and bias assessment by 3 independent authors. Eight articles were included in a total of 5 comparisons, between different transpedicular fixation techniques. No significant differences on function or quality of life, neurologic status or limitation of motion were found. Only instrumentation with fracture level screw incorporation showed significant decrease of pain when compared with instrumentation alone. Several techniques resulted in significant improvements of different radiological parameters. Significantly, surgeries with smaller duration were associated with lesser blood loss. Bone graft use caused a significant raise in post-operative complications, namely donor site pain. So, this paper showed that significative improvements in radiological parameters do not associate with correspondent clinical benefits, and only instrumentation with level screw incorporation is associated with a clear benefit on pain. Moreover, the need for bone graft is questioned, since it leads to no clinic-radiological improvement with a raise of complications. However, a small number of controlled studies is available on this topic.</p>

scholarly journals Surgical Treatment of Burst Fractures of the Thoracic and Lumbar Spine Accompanied with Spinal Canal Narrowing

2007 ◽  
pp. 8-15 ◽  
Author(s):  
Viktor Rerikh ◽  
◽  
Konstantin Borzykh ◽  
Shukhrat Rakhmatillaev ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Spinal Canal ◽  
Burst Fractures ◽  
Thoracic And Lumbar Spine

scholarly journals THORACOLUMBAR BURST FRACTURE: STRUCTURAL CHANGES AND CLINICAL OUTCOME OF TREATMENT

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.

Early Clinical Results of Short Same-Segment Posterior Fixation in Thoracolumbar Burst Fractures

2018 ◽  
Vol 20 (3) ◽  
pp. 211-217 ◽  
Author(s):  
Misbah Mehraj ◽  
Farid H. Malik
Keyword(s):  
Lumbar Spine ◽  
Sagittal Plane ◽  
Posterior Instrumentation ◽  
Body Height ◽  
Posterior Fixation ◽  
Spine Fractures ◽  
Short Segment ◽  
Thoracolumbar Burst Fractures ◽  
Burst Fractures ◽  
Thoracic And Lumbar Spine

Background. We did a prospective study to study the efficiency of Short Segment Posterior Instrumentation using a Universal Spine System with incorporation of the fractured vertebra in post-traumatic thoracic and lumbar spine fractures. Material and methods. 25 cases in the age group of I5-50 years with thoracic and lumbar spine fractures were included in the study. The operative decision was made on the basis of instability of spine fractures with or without neurological deficit. Patients were followed up for an average period of twelve months, reporting for assessment at 3-monthly intervals. The final result was analyzed on the basis of neurological recovery as per Frankel’s Grading, spine stability as per kyphotic angle by Cobb’s method, vertebral body height and complications. Results. Post-operatively at the final follow-up visit, 36% patients had Frankel’s grade E neurological status. The mean sagittal plane kyphosis pre-operatively was 31.16°, which reduced to 21.52° post-operatively, which represents 30.93% reduction. Mean anterior body compression was 38.6°, which decreased to 23.4° post-operatively, corresponding to 15% increase. Conclusions. 1. Although conventional short segment posterior fixation (SSPF) has become an increasingly popular method of treatment of thoracolumbar burst fractures, providing the advantage of incorporating fewer motion segments in the fixation, a review of literature demonstrated that SSPF led to 9-55% incidence of implant failure and long term loss of kyphosis correction. 2. Short segment posterior fixation with pedicle fixation at the level of the fractured vertebra (short same-segment fixation) provides more biomechanical stability than traditional SSPF.

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