Short segment pedicle screw instrumentation and augmentation vertebroplasty in lumbar burst fractures: an experience

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
Suhail AfzalShabir A Dhar

Abstract

To assess the efficacy and feasibility of vertebroplasty and posterior short-segment pedicle screw fixation for the treatment of traumatic lumbar burst fractures. Short-segment pedicle screw instrumentation is a well described technique to reduce and stabilize thoracic and lumbar spine fractures. It is relatively a easy procedure but can only indirectly reduce a fractured vertebral body, and the means of augmenting the anterior column are limited. Hardware failure and a loss of reduction are recognized complications caused by insufficient anterior column support. Patients with traumatic lumbar burst fractures without neurologic deficits were included. After a short segment posterior reduction and fixation, bilateral transpedicular reduction of the endplate was performed using a balloon, and polymethyl methacrylate cement was injected. Pre-operative and post-operative central and anterior heights were assessed with radiographs and MRI. Sixteen patients underwent this procedure, and a substantial reduction of the endplates could be achieved with the technique. All patients recovered uneventfully, and the neurologic examination revealed no deficits. The post-operative radiographs and magnetic resonance images demonstrated a good f...Continue Reading

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Citations

May 25, 2010·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·Stéphane FuentesHenry Dufour
Dec 14, 2011·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·Nimrod RahamimovShay Freiman
Jul 2, 2014·Neurosurgical Focus·Anton V ZaryanovJeffrey S Fischgrund
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Jul 19, 2011·Orthopaedics & Traumatology, Surgery & Research : OTSR·B BlondelH Dufour
Nov 21, 2012·Orthopaedics & Traumatology, Surgery & Research : OTSR·C Court, C Vincent
Aug 26, 2014·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Taemin OhZachary A Smith
Aug 25, 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·Panagiotis KorovessisVasilleios Syrimpeis
Mar 19, 2020·Clinical Case Reports·Tobias A Mattei, Caio M Perret
Apr 22, 2018·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·Andrea PiazzollaBiagio Moretti

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