Percutaneous versus open pedicle screw fixation for treatment of type A thoracolumbar fractures

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Jan KocisTomas Návrat

Abstract

The purpose of this study was to evaluate the effectiveness between percutaneous and open pedicle screw fixation without fusion for treating type A3 and A4 thoracolumbar fractures. Traumatic thoracolumbar burst fracture is a common pathology without a consensus on the best treatment approach. Percutaneous pedicle screw fixation (PPSF) systems have been recently introduced in the treatment of spinal fractures to reduce the adverse effects associated with the conventional open approaches, such as iatrogenic muscle denervation and pain. A prospective analysis was made to evaluate consecutive 46 patients with type A3 and A4 thoracolumbar fractures. Patients were divided into a percutaneous pedicle screw fixation group (PPSF) and an open pedicle screw fixation group (OPSF). The mean age of patients in PPSF group (12 men, 11 woman) was 49.9 years and in OPSF group (10 men, 13 women) 52.2 years. For the purpose of evaluation, the radiological assessment of the bisegmental Cobb angle, the loss of correction, the volume of blood loss, operation time, cumulative radiation time and dose were recorded and compared. All patients were followed up for 12 months. There were no significant differences between OPSF and PPSF in the Cobb angle pre...Continue Reading

References

Jan 20, 2011·Der Unfallchirurg·A P VerheydenC Ulrich
Dec 12, 2012·Evidence-based Spine-care Journal·Erik P SeversonAlpesh A Patel
Aug 24, 2013·Spine·Alexander R VaccaroUNKNOWN AOSpine Spinal Cord Injury & Trauma Knowledge Forum
Sep 10, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Gui Jun XuXin Long Ma
Dec 17, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Michael KreinestStefan Matschke
May 17, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Marco TinelliArnold J Suda

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Citations

Apr 30, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Wei Qian JiangZhen Qi Lou

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