scholarly journals Partial Pedicle Subtraction Osteotomy for Patients with Thoracolumbar Fractures : Comparative Study between Burst Fracture and Posttraumatic Kyphosis

2021 ◽  
Author(s):  
Ho Yong Choi ◽  
Dae Jean Jo
Keyword(s):  
Comparative Study ◽  
Burst Fracture ◽  
Pedicle Subtraction Osteotomy ◽  
Thoracolumbar Fractures ◽  
Posttraumatic Kyphosis

scholarly journals Pedicle Subtraction Osteotomy in Treatment of Posttraumatic Kyphosis

2017 ◽  
Vol 21 (1) ◽  
pp. 33-41
Author(s):  
Ahmed Arab ◽  
Mohamed Elmaghrabi ◽  
Mohamed Eltantawy
Keyword(s):  
Pedicle Subtraction Osteotomy ◽  
Posttraumatic Kyphosis

Comparison of operative and nonoperative treatment for thoracolumbar burst fractures in patients without neurological deficit: a systematic review

2006 ◽  
Vol 4 (5) ◽  
pp. 351-358 ◽  
Author(s):  
Kenneth C. Thomas ◽  
Christopher S. Bailey ◽  
Marcel F. Dvorak ◽  
Brian Kwon ◽  
Charles Fisher
Keyword(s):  
Neurological Deficit ◽  
Data Extraction ◽  
Scientific Evidence ◽  
Burst Fracture ◽  
Nonoperative Treatment ◽  
Thoracolumbar Burst Fractures ◽  
Posttraumatic Kyphosis ◽  
Burst Fractures ◽  
Related Quality ◽  
Health Related

Object Despite extensive published research on thoracolumbar burst fractures, controversy still surrounds which is the most appropriate treatment. The objective of this study was to evaluate the scientific literature on operative and nonoperative treatment of patients with thoracolumbar burst fractures and no neurological deficit. Methods In their search of the literature, the authors identified all possible relevant studies concerning thoracolumbar burst fracture without neurological deficit. Two independent observers performed study selection, methodological quality assessment, and data extraction in a blinded and objective manner for all papers identified during the search. In a synthesis of the literature, the authors obtained evidence for both operative and nonoperative treatments. Conclusions There is a lack of evidence demonstrating the superiority of one approach over the other as measured using generic and disease-specific health-related quality of life scales. There is no scientific evidence linking posttraumatic kyphosis to clinical outcomes. The authors found that there is a strong need for improved clinical research methodology to be applied to this patient population.

scholarly journals Treatment of Osteoporotic Thoracolumbar Burst Fractures by Bilateral Pedicle Vertebroplasty Combined With Postural Reduction

2021 ◽  
Author(s):  
Haoyu Wang ◽  
Lifeng Zhang ◽  
Xiaotao Wu
Keyword(s):  
Surgical Complications ◽  
Clinical Symptoms ◽  
Burst Fracture ◽  
Wedge Angle ◽  
Neurological Deficits ◽  
Spine Injury ◽  
Thoracolumbar Fractures ◽  
Kyphosis Correction ◽  
Alternative Method ◽  
Postural Reduction

Abstract Background: Osteoporotic thoracolumbar burst fracture (OTLBF) is common in seniors. Due to the fracture of the posterior vertebra and spinal canal occupancy, the risk of cement leakage and spine injury is high in OTLBF patients, thus the application of vertebroplasty is limited in these patients. This study aims to investigate the efficacy and safety of vertebroplasty for treating OTLBF via bilateral pedicle approach combined with postural reduction. To determine whether percutaneous vertebroplasty (PVP) combined with body reduction is an alternative method for treating OTLBF that prevents major surgical complications.Methods: Thirteen patients (aged≥65years) with thoracolumbar fractures but without neurological deficits underwent vertebroplasty. In all fracture cases, the anterior and middle columns of the vertebrae were affected and the canal was mildly compressed. To assess the clinical symptoms and the effects of the procedure, patient mobility and pain were assessed prior to the procedure and at 1 day and 3 months after the procedure. Kyphosis correction, wedge angle, and height restoration were also observed and measured. Results: Improvements in pain and mobility were observed immediately after vertebroplasty in all patients. These results were observed for 6 months. Significant improvements were also noted at 1 day and 6 months after vertebroplasty. Pain was reduced by at least 4 levels after 6 months. No comorbidities were observed. Kyphosis Correction, Wedge Angle and height recovery were improved. Postoperative computed tomography revealed polymethylmethacrylate leakage through the endplate fracture site into the disc space and paravertebral spacein one patient. No intraspinal leakage was found in all patients. Conclusions: Vertebroplasty is assumed to be contraindicated in patients with osteoporotic thoracolumbar fractures with posterior body involvement. However, this procedure was successfully performed to safely treat such fractures without causing neurological deficits. PVP combined with body reduction may be an alternative method for treating OTLBF that prevents major surgical complications. Moreover, it helps patients achieve early mobilization and pain relief.

Pedicle subtraction osteotomy in the treatment of chronic, posttraumatic kyphotic deformity

2006 ◽  
Vol 5 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Robert F. Heary ◽  
Christopher M. Bono
Keyword(s):  
Lumbar Spine ◽  
Sagittal Plane ◽  
Sagittal Alignment ◽  
Pedicle Subtraction Osteotomy ◽  
Spinal Deformities ◽  
Thoracolumbar Fractures ◽  
Mineral Density ◽  
Posttraumatic Deformity ◽  
Plane Deformity ◽  
Posterior Procedure

Object Thoracolumbar fractures, treated operatively or nonoperatively, may cause painful kyphotic deformities over time. A pedicle subtraction osteotomy (PSO) is a single-stage posterior procedure designed to correct sagittal plane deformity. Although it was initially used to treat nontraumatic conditions, a PSO can be highly effective in chronic, posttraumatic fractures of the lumbar spine. In this report the authors review details obtained in the treatment of three patients with severe, posttraumatic spinal deformities. They describe the surgical technique used to correct the sagittal malalignments. Methods All three patients were middle aged, and good bone mineral density had been demonstrated in each case preoperatively. After PSO, a mean 51° improvement in sagittal alignment was achieved and maintained until a solid arthrodesis was documented in each case. Substantial improvements in pain relief and functional outcome were observed. A detailed, procedure-specific literature review was undertaken. Conclusions A PSO is a valuable tool to add to the armamentarium of neurosurgeons who treat patients suffering from painful posttraumatic deformity following fractures of the upper lumbar spine.

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