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Percutaneous pedicle screw fixation plus kyphoplasty for thoracolumbar fractures A2, A3 and B2.
- Source :
-
European Spine Journal . May2017, Vol. 26 Issue 5, p1492-1498. 7p. - Publication Year :
- 2017
-
Abstract
- <bold>Design: </bold>Retrospective cohort.<bold>Purpose: </bold>The aim of this study is to evaluate the effectiveness of percutaneous short fixation (PSFx) plus kyphoplasty (BP) for thoracolumbar fractures.<bold>Methods: </bold>Thirty-six consecutive selected patients, aged 59 ± 17 years, with fresh single thoracolumbar A2, A3, and B2 AO-type fracture, received PSFx plus BP. The primary outcomes pain, and vertebral body deformity; and the secondary outcomes screw malposition, facet violation, PMMA leakage, adjacent segment degeneration (ASD) and loss of correction were evaluated. The f/up was 31 ± 7 months.<bold>Results: </bold>Pain and kyphosis decreased and vertebral body heights increased significantly postoperation. PMMA leakage occurred in five cases; 6 (4 %) screws were grades III malpositioned in relation to pedicle; facet violation occurred in 8 (5.5 %) facets; loss of kyphosis correction was 3.68°; ASD occurred in two cases; interfacet fusion in ten (28 %) patients; Three patients were reoperated for different reasons.<bold>Conclusions: </bold>PSFx plus BP for thoracolumbar fractures reduces significantly spinal deformity and pain with few complications. [ABSTRACT FROM AUTHOR]
- Subjects :
- *FRACTURE fixation
*PEDICLE flaps (Surgery)
*SPINAL surgery
*SPINAL injury treatment
*KYPHOPLASTY
*COMPRESSION fractures
*THERAPEUTICS
*LUMBAR vertebrae surgery
*THORACIC vertebrae injuries
*THORACIC vertebrae
*LUMBAR vertebrae
*BONE screws
*BONE fractures
*LONGITUDINAL method
*SPINAL injuries
*SURGICAL complications
*SURGERY
*WOUNDS & injuries
TREATMENT of spinal cord compression
Subjects
Details
- Language :
- English
- ISSN :
- 09406719
- Volume :
- 26
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- European Spine Journal
- Publication Type :
- Academic Journal
- Accession number :
- 122727331
- Full Text :
- https://doi.org/10.1007/s00586-016-4743-6