Complications of percutaneous pedicle screw fixation in treating thoracolumbar and lumbar fracture

Medicine
Qinpeng ZhaoBaorong He

Abstract

Percutaneous pedicle screw fixation (PPSF) has been a popular approach for treating thoracolumbar and lumbar fracture, and its relevant complications have been gradually recognized. This study aimed to summarize the complications of PPSF in treating thoracolumbar and lumbar fracture as well as the management and outcomes of the complications.We retrospectively analyzed the patients with thoracolumbar and lumbar fracture who were admitted to our department from February 2011 to February 2015 and underwent posterior PPSF. Information on demographics, medical comorbidities, radiographs, and treatment was obtained from hospital medical records and follow-up records. Main outcome indexes included adverse clinical and radiological outcomes during and after surgery.A total of 781 patients were included in this study. Forty-six patients (5.9%) presented with complications during or after surgery. The complications included intraoperative guide wire breakage, abdominal artery injury, spinal dura mater injury, postoperative pedicle screw misplacement, screw breakage, plug screw falling off, connecting rod loosening, poor reduction, and late infection. Among the 39 cases with postoperative complications, 14 underwent revision surgery, and...Continue Reading

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Citations

Oct 28, 2019·British Journal of Neurosurgery·Kalliopi AlpantakiGeorge Samonis
Jul 16, 2019·Current Reviews in Musculoskeletal Medicine·Hannah WeissNader S Dahdaleh
Aug 8, 2020·Spine Deformity·Ibrahim HussainPraveen V Mummaneni
May 27, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Henrik C BäckerMichael Putzier
Jun 17, 2020·World Neurosurgery·Parthik D PatelAlexander R Vaccaro
Jan 23, 2022·Cardiovascular and Interventional Radiology·Luca Jacopo PavanNicolas Amoretti

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