scholarly journals SPLIT-TYPE FRACTURES OF THE SPINE: A NEW MINIMALLY INVASIVE PERCUTANEOUS TECHNIQUE

2021 ◽  
Vol 20 (1) ◽  
pp. 55-59
Author(s):  
André Rafael Hübner ◽  
Ivana Flores Luthi ◽  
Charles Leonardo Israel ◽  
Marcelo Ribeiro ◽  
Álvaro Diego Heredia Suarez ◽  
...  

ABSTRACT Objective: This research presents a biomechanical analysis performed in the lumbar spine of a porcine animal model, considering a minimally invasive technique for the treatment of split fractures. Methods: Porcine spines were used to perform compression tests, considering three different approaches. Three groups were defined in order to verify and validate the proposed technique: a control group (1); spines with split fractures (2); and a treatment group (3). For the first group (control), spines were axially compressed until any kind of fracture occurred, in order to verify the strength of the structure. In the second group, split fractures were created to obtain the mechanical failure pattern of the model. In the third group, the split fractures were submitted to the proposed treatment, to verify the resistance achieved. The three groups were compared by means of axial compression tests. Statistical analysis was performed by ANOVA. Results: The control group (intact spine) and the treated split fracture group presented similar results (p>0.05), differing from the results for the untreated split fracture group (p<0.05). Conclusions: The tests performed in order to determine the behavior and strength of the lumbar spine when subjected to axial compression provided positive data for the development of a minimally invasive technique capable of restoring split fractures of the spine. Level of evidence III; Experimental research.

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Federico De Iure ◽  
Michele Cappuccio ◽  
Stefania Paderni ◽  
Giuseppe Bosco ◽  
Luca Amendola

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.


2020 ◽  
Vol 3 (53) ◽  
pp. 42-47
Author(s):  
Valentine Piontkovsky ◽  
◽  
Vladimir Zlativ ◽  
Bogdan Mironik ◽  
Victor Kasyanchuk ◽  
...  

The article evaluates the effectiveness of transforaminal endoscopic microdiscectomy, highlight the disadvantages and advantages of this method in comparison with traditional methods, based on the data obtained, determine the main indications and contraindications for this procedure. Endoscopic transforaminal microdiscectomy is a modern minimally invasive technique that has a number of advantages over open microdiscectomy. Certain anatomical limitations and features of free sequestration migration require detailed patient selection and preoperative planning. The key to solving these problems is the development of new instrumentation, which in the future will significantly reduce the number of recurrent disc herniation


2011 ◽  
Vol 54 (02) ◽  
pp. 100-103 ◽  
Author(s):  
H. Roldan ◽  
L. Perez-Orribo ◽  
M. Spreafico ◽  
M. Ginoves-Sierra

Spine ◽  
2002 ◽  
Vol 27 (4) ◽  
pp. 432-438 ◽  
Author(s):  
Bernard H. Guiot ◽  
Larry T. Khoo ◽  
Richard G. Fessler

2021 ◽  
pp. 155335062098822
Author(s):  
Eirini Giovannopoulou ◽  
Anastasia Prodromidou ◽  
Nikolaos Blontzos ◽  
Christos Iavazzo

Objective. To review the existing studies on single-site robotic myomectomy and test the safety and feasibility of this innovative minimally invasive technique. Data Sources. PubMed, Scopus, Google Scholar (from their inception to October 2019), as well as Clinicaltrials.gov databases up to April 2020. Methods of Study Selection. Clinical trials (prospective or retrospective) that reported the outcomes of single-site robotic myomectomy, with a sample of at least 20 patients were considered eligible for the review. Results. The present review was performed in accordance with the guidelines for Systematic Reviews and Meta-Analyses (PRISMA). Four (4) studies met the inclusion criteria, and a total of 267 patients were included with a mean age from 37.1 to 39.1 years and BMI from 21.6 to 29.4 kg/m2. The mean operative time ranged from 131.4 to 154.2 min, the mean docking time from 5.1 to 5.45 min, and the mean blood loss from 57.9 to 182.62 ml. No intraoperative complications were observed, and a conversion rate of 3.8% was reported by a sole study. The overall postoperative complication rate was estimated at 2.2%, and the mean hospital stay ranged from 0.57 to 4.7 days. No significant differences were detected when single-site robotic myomectomy was compared to the multiport technique concerning operative time, blood loss, and total complication rate. Conclusion. Our findings support the safety of single-site robotic myomectomy and its equivalency with the multiport technique on the most studied outcomes. Further studies are needed to conclude on the optimal minimally invasive technique for myomectomy.


1991 ◽  
Vol 5 (2) ◽  
pp. 117-122 ◽  
Author(s):  
STEPHENIE R. LONG ◽  
RALPH V. CLAYMAN ◽  
STEPHEN M. DIERKS ◽  
SHIMON MERETYK ◽  
TERRY BUELNA

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